Individual provider Active NPI

Carissa Karanth, LPC

  • Professional Counselor
  • Wolverine Lake, MI
National Provider Identifier
1255725123
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1500 Rustic Lane
Wolverine Lake, MI 48390
Phone
(248) 842-3213
NPI assigned
Mar 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary
Counselor 101Y00000X

Addresses

Primary practice location

1500 Rustic Lane
Wolverine Lake, MI 48390

Mailing address

1500 Rustic Lane
Wolverine Lake, MI 48390
Phone (248) 842-3213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20231127001838 MI Practitioner - Mental Health Counselor 5597113845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health Eastwood Behavioral HealthGroup PAC ID 2163324492, 51 clinicians

Practice addresses (Care Compare)

17250 Farmington Rd
Livonia, MI 48152-3151
Phone (734) 425-4070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Eastwood Behavioral Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

17250 Farmington Rd
Livonia, MI 48152
Phone (734) 425-4070

44000 W Twelve Mile Rd
Ste 101
Novi, MI 48377
Phone (248) 226-3001

23077 Greenfield Rd
Ste 445
Southfield, MI 48075
Phone (248) 559-1266

22255 Greenfield Rd
Ste 300
Southfield, MI 48075
Phone (248) 557-5227

Interoperability endpoints

  • Direct secure messaging: ckaranth1134121@direct.hfhs.org

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": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1255725123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 RUSTIC LANE",
            "city": "WOLVERINE LAKE",
            "state": "MI",
            "postal_code": "48390",
            "telephone_number": "248-842-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 RUSTIC LANE",
            "city": "WOLVERINE LAKE",
            "state": "MI",
            "postal_code": "48390",
            "telephone_number": "248-842-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARANTH",
        "first_name": "CARISSA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolverine Lake, MI

Sources for this page

Verify at the official NPI Registry.