Carissa McDonald

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC01119000 Issued in NJ

Practice address

615 Lacey Rd
Forked River, NJ 08731-2200

Phone

(732) 908-7753

NPI assigned

Jul 18, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Guiding Light Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Forked River, NJ
  • NPI 1568250751

  Multi-Specialty, NJ

  Medicare reassignment NPD Authorized official
• Mindful Solutions NJ, LLC

  • Community/Behavioral Health Agency
  • Toms River, NJ
  • NPI 1669877981

  Professional

  NPD

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1194450882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 US HIGHWAY 202 N STE A",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763757",
            "telephone_number": "329-087-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 LACEY RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312200",
            "telephone_number": "732-908-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "CARISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC01119000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MindfulSolutionsNJLLC",
            "affiliation": "N",
            "address_1": "52 Hyers St",
            "city": "Toms River",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087537465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "GuidingLightCounselingLLC",
            "affiliation": "N",
            "address_1": "615 Lacey Rd",
            "city": "Forked River",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087312200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Makow, LSW
• Katherine J Marino, FNP-C
• Charles Anthony Marotta, DC
• Christopher Marrero
• Kalhie M Mayer, COTA/L
• Jessica McFadden, M.S., CCC-SLP
• Thomas C McGillick, D.C.
• Lana Meireles, PT
• Diane F Mess, LAC
• Vincent J Migliori, D.P.M.

• All providers in Forked River, NJ
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.