Carissa Bartolini, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5278 Issued in CT

Practice address

936 Hickory Hill Rd
Thomaston, CT 06787-1025

Phone

(203) 731-7997

NPI assigned

Nov 30, 2021

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 18, 2023.

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1346908134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 HICKORY HILL RD",
            "city": "THOMASTON",
            "state": "CT",
            "postal_code": "067871025",
            "telephone_number": "203-731-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 HICKORY HILL RD",
            "city": "THOMASTON",
            "state": "CT",
            "postal_code": "067871025",
            "telephone_number": "203-731-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOLINI",
        "first_name": "CARISSA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "5278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.