Individual provider Active NPI

Muriell Carlisle, M.S.

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1063832897
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH12126 Issued in FL
Practice address
Pinkston Dr
Miami, FL 33176-7362
Phone
(541) 671-9748
NPI assigned
Apr 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH12126 FL Primary

Addresses

Primary practice location

Pinkston Dr
Miami, FL 33176-7362

Mailing address

1998 Pruner Rd
Riddle, OR 97469-8639
Phone (541) 671-9748

Other practice location 1

1998 Pruner Rd
Riddle, OR 97469-8639
Phone (541) 638-0088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH12126FLMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1063832897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1998 PRUNER RD",
            "city": "RIDDLE",
            "state": "OR",
            "postal_code": "974698639",
            "telephone_number": "541-671-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PINKSTON DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767362",
            "telephone_number": "541-671-9748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1998 Pruner Rd",
            "address_purpose": "LOCATION",
            "city": "Riddle",
            "state": "OR",
            "postal_code": "974698639",
            "country_code": "US",
            "telephone_number": "541-638-0088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLISLE",
        "first_name": "MURIELL",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-20",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.