Active NPI
Carolyn Elizabeth Hulse, LMHC
- Mental Health Counselor
- Santa Rosa Beach, FL
National Provider Identifier
1093354623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH17614
- Practice address
- 24700 Hwy 331 South
Suite 104
Santa Rosa Beach, FL 32459-3245 - Phone
- (850) 296-2607
- NPI assigned
- Dec 30, 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH17614 | FL | Primary |
Addresses
Primary practice location
24700 Hwy 331 South
Suite 104
Santa Rosa Beach, FL 32459-3245
Mailing address
24700 US Hwy 331 South
Suite 104
Santa Rosa Beach, FL 32459-8123
Phone (850) 296-2607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 30, 2024 through May 30, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH17614 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
Interoperability endpoints
- carolynhulse@tdh.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602806400000",
"number": "1093354623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24700 US HWY 331 SOUTH",
"address_2": "SUITE 104",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324598123",
"telephone_number": "850-296-2607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24700 HWY 331 SOUTH",
"address_2": "SUITE 104",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324593245",
"telephone_number": "850-296-2607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULSE",
"first_name": "CAROLYN",
"middle_name": "ELIZABETH",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-30",
"last_updated": "2020-10-16",
"certification_date": "2020-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH17614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.