Individual provider Active NPI

Carissa Newman, MA

  • Mental Health Counselor
  • Virginia Beach, VA
National Provider Identifier
1194105452
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701012048 Issued in VA
Practice address
317 Office Square LN Ste B202
Virginia Beach, VA 23462-3652
Phone
(321) 233-4650
NPI assigned
Jun 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH15826 FL
Mental Health Counselor 101YM0800X 0701012048 VA Primary

Addresses

Primary practice location

317 Office Square LN Ste B202
Virginia Beach, VA 23462-3652

Mailing address

317 Office Square LN Ste B202
Virginia Beach, VA 23462-3652
Phone (321) 233-4650

Other practice location 1

1007 N Main St
Dayville, CT 06241-2170
Phone (860) 774-2020

Other practice location 2

1416 Park Ave Ste 201
Fernandina Beach, FL 32034-1901
Phone (321) 233-4650

Other practice location 3

463142 State Road 200
Yulee, FL 32097-5554
Phone (904) 225-8280

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH15826FLMDMental Health Counselor
0701012048VAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1194105452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 OFFICE SQUARE LN STE B202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623652",
            "telephone_number": "321-233-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 OFFICE SQUARE LN STE B202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623652",
            "telephone_number": "321-233-4650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1007 N Main St",
            "address_purpose": "LOCATION",
            "city": "Dayville",
            "state": "CT",
            "postal_code": "062412170",
            "country_code": "US",
            "telephone_number": "860-774-2020",
            "fax_number": "860-779-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1416 Park Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fernandina Beach",
            "state": "FL",
            "postal_code": "320341901",
            "country_code": "US",
            "telephone_number": "321-233-4650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "463142 State Road 200",
            "address_purpose": "LOCATION",
            "city": "Yulee",
            "state": "FL",
            "postal_code": "320975554",
            "country_code": "US",
            "telephone_number": "904-225-8280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "CARISSA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15826",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701012048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.