Active NPI
Carissa Kumlander
- Mental Health Counselor
- Latham, NY
National Provider Identifier
1255083580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 713 Troy Schenectady Rd
Latham, NY 12110-2490 - Phone
- (518) 836-3656
- NPI assigned
- Jan 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
713 Troy Schenectady Rd
Latham, NY 12110-2490
Mailing address
55 Front St Apt B
Ballston Spa, NY 12020-1726
Phone (518) 796-0275
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | uknown |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642464000000",
"number": "1255083580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 FRONT ST APT B",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "120201726",
"telephone_number": "518-796-0275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 TROY SCHENECTADY RD",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102490",
"telephone_number": "518-836-3656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMLANDER",
"first_name": "CARISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-18",
"last_updated": "2022-01-18",
"certification_date": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "uknown",
"affiliation": "N",
"endpointDescription": "unknown",
"address_1": "713 Troy Schenectady Rd",
"city": "Latham",
"state": "NY",
"country_code": "US",
"postal_code": "121102490",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.