Active NPI
Karlin Dhariana Walcott, LMHC, CASAC
- Professional Counselor
- Middletown, NY
National Provider Identifier
1043856529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 006547
- Practice address
- 305 North St
Middletown, NY 10940-4704 - Phone
- (845) 343-7675
- Fax
- (845) 343-2501
- NPI assigned
- Nov 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 006547 | NY | Primary |
Addresses
Primary practice location
305 North St
Middletown, NY 10940-4704
Mailing address
305 North St
Middletown, NY 10940-4704
Phone (845) 343-7675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006547 | NY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access: Supports for Living Inc. | Current | Accepting new patients | |
| Access: Supports for Living Inc | Single Specialty | Current | Accepting new patients |
| Catholic Charities of Orange, Sullivan & Ulster | Single Specialty | Past | Accepting new patients |
Locations
16 Union St
Middletown, NY 10940
Phone (845) 343-5556
67 Windsor Hwy
Newburgh, NY 12553
Phone (845) 562-6850
15 Fortune Rd W
Scotchtown, NY 10941
Phone (845) 673-7123
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Middletown, NY
- NPI 1528174976
Single Specialty
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Middletown, NY
- NPI 1790326320
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Goshen, NY
- NPI 1093875007
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1043856529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 NORTH ST",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109404704",
"telephone_number": "845-343-7675",
"fax_number": "845-343-2501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 NORTH ST",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109404704",
"telephone_number": "845-343-7675",
"fax_number": "845-343-2501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALCOTT",
"first_name": "KARLIN",
"middle_name": "DHARIANA",
"credential": "LMHC, CASAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-20",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "NY",
"license": "006547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.