Individual provider Active NPI

Carisa Michelle Gerald, MA, LPC

  • Mental Health Counselor
  • Florence, SC
National Provider Identifier
1295395036
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7838 Issued in SC
Practice address
181 E Evans St Ste C5
Florence, SC 29506-5502
Phone
(843) 731-9016
Fax
(843) 989-0175
NPI assigned
Jun 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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 7838 SC Primary
Mental Health Counselor 101YM0800X 7130 SC

Addresses

Primary practice location

181 E Evans St Ste C5
Florence, SC 29506-5502

Mailing address

PO Box 7544
Florence, SC 29502-7544
Phone (843) 773-6186

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
7130SCMDMental Health Counselor
7838SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heart to Heart Empowerment Services, LLC CurrentSince Mar 1, 2022 Accepting new patients

Locations

181 E Evans St
Ste E6B
Florence, SC 29506

181 E Evans St
Ste C5
Florence, SC 29506
Phone (843) 731-9016

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": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1295395036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7544",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295027544",
            "telephone_number": "843-773-6186",
            "fax_number": "843-989-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 E EVANS ST STE C5",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295065502",
            "telephone_number": "843-731-9016",
            "fax_number": "843-989-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERALD",
        "first_name": "CARISA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "7838",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "7130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.