EAP Providers 

Interested in becoming a EAP provider of counseling services for Charles Nechtem Associates, Inc.? To become a provider, you must be a master’s level clinician or above and provide us a copy of your license, resume and malpractice insurance. By joining our network, you will also be simultaneously enrolled in on managed care network, Oasis Health Care, Inc. as well as our Prepaid Quality Counseling Services network.  A one time enrollment fee  to join our networks of $25 is required. Please also download our provider application and make your check out to Charles Nechtem Associates, Inc. The check, application, license, resume and malpractice insurance should be mailed to: 

Provider Relations

Charles Nechtem Associates, Inc.

595 Bay Isles Road, Suite 115

Longboat Key, FL 34228

Downloadable Documents:

-Provider Application 

-HIPPA  Privacy Statements to hand out to clients. 

-Release of Information. 

For billing purposes, please use your standard HCFA-1500 form 

Questions regarding billing or claims can be sent to
billing@charlesnechtem.com.

All other questions including our fee schedule may be addressed to
providerrelations@charlesnechtem.com .