Individual provider Active NPI

Carissa Kay Henry, LPCC-S

  • Mental Health Counselor
  • Steubenville, OH
National Provider Identifier
1174848774
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.071121-SUPV Issued in OH
Practice address
1524 Sunset Blvd Ste a
Steubenville, OH 43952-1380
Phone
(740) 264-7751
NPI assigned
Apr 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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 E.071121-SUPV OH Primary

Addresses

Primary practice location

1524 Sunset Blvd Ste a
Steubenville, OH 43952-1380

Mailing address

1524 Sunset Blvd Ste a
Steubenville, OH 43952-1380
Phone (740) 632-0131

Other names 1

  • Carissa Kay Cook Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20260608000359 OH Practitioner - Mental Health Counselor 5193296515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1524 Sunset Blvd
Suite a
Steubenville, OH 43952-1380

3800 W Broward Blvd
Suite 100
Ft Lauderdale, FL 33312-1018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.071121-SUPVOHMDMental Health Counselor

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.

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1174848774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 SUNSET BLVD STE A",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439521380",
            "telephone_number": "740-632-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 SUNSET BLVD STE A",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439521380",
            "telephone_number": "740-264-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "CARISSA",
        "middle_name": "KAY",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.071121-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARISSA",
            "last_name": "COOK",
            "middle_name": "KAY",
            "credential": "LPCC-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Steubenville, OH

Sources for this page

Verify at the official NPI Registry.