Charles Joseph Cordova, LPC
NPI 1073978920ActiveIndividual· Counselor, Professional· Lovell, WY
Counselor, Professional (LPC) in Lovell, Wyoming, licensed in WY, with an NPI issued in December 2015. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1073978920 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | Yes |
| NPI issued | Dec 18, 2015 |
| Last updated in NPPES | Dec 18, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | LPC-1534 | WY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (WY) |
|---|
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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