Marie Carmino, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

007043 Issued in NY

Practice address

22 Southern Blvd Ste 109
Nesconset, NY 11767-1086

Phone

(631) 384-0732

Fax

(631) 721-4111

NPI assigned

Feb 8, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marie Staubitzer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672531200000",
    "number": "1386002103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CLEMATIS CT",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551839",
            "telephone_number": "631-384-0732",
            "fax_number": "631-721-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SOUTHERN BLVD STE 109",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671086",
            "telephone_number": "631-384-0732",
            "fax_number": "631-721-4111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Deer Park Ave",
            "address_purpose": "LOCATION",
            "city": "Deer Park",
            "state": "NY",
            "postal_code": "117295208",
            "country_code": "US",
            "telephone_number": "631-242-2250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "196 N Main St",
            "address_purpose": "LOCATION",
            "city": "Sayville",
            "state": "NY",
            "postal_code": "117822582",
            "country_code": "US",
            "telephone_number": "631-384-0732",
            "fax_number": "631-721-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARMINO",
        "first_name": "MARIE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2023-01-01",
        "certification_date": "2023-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "STAUBITZER",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Lawrence Caesar, D.D.S.
• Danielle Caligiuri
• Cindy A Callahan, RPA-C
• Anne Capogna
• Caring Medical, LLC
• Katherine Cassidy, LMT
• Mark J Castiglione, D.C.
• Ralph Castiglione, DC
• Denise Louise Catania-Piccininni, SPECIAL EDUCATOR
• Jennifer Jane Chalaire, LPN

• All providers in Nesconset, NY
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.