Katelyn Anne Caraveo, MA, MHC-LP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P112804 Issued in NY

Practice address

649 Commack Road
Suite a
Commack, NY 11725-1172

Phone

(631) 493-7600

NPI assigned

Jan 21, 2022

Last updated

Jan 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Senior Care Therapy LCSW of New York PLLCGroup PAC ID 7113269010, 63 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Senior Care Therapy LCSW of New York PLLC

  • Clinical Social Worker
  • Flushing, NY
  • NPI 1932677168

  Mental Health

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1174275069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LINCOLN AVE",
            "address_2": "APT 23C",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "11501",
            "telephone_number": "401-297-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 COMMACK ROAD",
            "address_2": "SUITE A",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251172",
            "telephone_number": "631-493-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARAVEO",
        "first_name": "KATELYN",
        "middle_name": "ANNE",
        "credential": "MA, MHC-LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P112804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PRACTICE",
            "identifier": "P112804",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Simple_Practice",
            "affiliation": "N",
            "endpointDescription": "Documentation_and_record_keeping.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Records",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Documentation",
            "address_1": "649 Commack Road",
            "address_2": "Suite A",
            "city": "Commack",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117251172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Can Licensed Behavior Analysis PC
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• Dana Caputo
• Dominique Elise Caramagno, LMSW
• Carefirst Family Medical PC
• John A Careri, MSW
• Kathryn A. Carey, MS, CCC-SLP
• Maryanne Nicole Carletto, DDS
• Kiersten Carlomagno, MA-CCC, SLP

• Mental Health Counselor in Commack, NY
• Providers in Commack, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.