Active NPI
Karen Lynn Carlo
- Mental Health Counselor
- Springfield, MA
National Provider Identifier
1043626591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- S64294783
- Practice address
- 1695 Main St
Springfield, MA 01103-1348 - Phone
- (413) 739-5572
- NPI assigned
- Jul 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | S64294783 | MA | Primary |
| Counselor | 101Y00000X |
Addresses
Primary practice location
1695 Main St
Springfield, MA 01103-1348
Mailing address
54 N Maple St
Florence, MA 01062-1323
Phone (413) 841-7712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160126000304 | MA | Practitioner - Clinical Social Worker | 4385947365 | Practice locations: Northampton, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Northampton, MA 01060
Phone (413) 841-7712
5 Pomeroy Ter Unit
Suite 1
Northampton, MA 01060-3338
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S64294783 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404518400000",
"number": "1043626591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 N MAPLE ST",
"city": "FLORENCE",
"state": "MA",
"postal_code": "010621323",
"telephone_number": "413-841-7712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1695 MAIN ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011031348",
"telephone_number": "413-739-5572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLO",
"first_name": "KAREN",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-05",
"last_updated": "2014-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "S64294783",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.