Carissa Deanne Daigle, LAPC

Individual provider Active NPI Professional Counselor · New Bloomfield, PA

NPI 1104620368 · NPPES record last updated Apr 4, 2025

Key facts

NPI
1104620368
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
APC001087 (PA)
Practice address
550 Shermans Valley Rd
New Bloomfield, PA 17068-8547
Phone
(717) 275-7400
Fax
(877) 373-3818
NPI assigned
Apr 4, 2025
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
APC001087PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Folium, Inc. Current
since Dec 10, 2025
Accepting new patients

Locations

550 Shermans Valley Rd
New Bloomfield, PA 17068
Phone (717) 275-7400

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X APC001087 PA Yes

Addresses

Primary practice location

550 Shermans Valley Rd
New Bloomfield, PA 17068-8547

Mailing address

550 Shermans Valley Rd
New Bloomfield, PA 17068-8547
Phone (717) 582-9922

Other providers in New Bloomfield, PA

All providers in New Bloomfield, PA · Professional Counselor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.