Individual provider Active NPI

Karlin Dhariana Walcott, LMHC, CASAC

  • Professional Counselor
  • Middletown, NY
National Provider Identifier
1043856529
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
006547 Issued in NY
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

Updated by the provider on Nov 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117002895 NY Practitioner - Mental Health Counselor 9830541648 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006547NYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Access: Supports for Living Inc. CurrentSince Jan 1, 2024 Accepting new patients
Access: Supports for Living Inc Single Specialty CurrentSince Jan 1, 2024 Accepting new patients
Catholic Charities of Orange, Sullivan & Ulster Single Specialty PastSince Nov 24, 2019 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.

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

Verify at the official NPI Registry.