Michelina Carrese Shafer, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

010114 Issued in NY

Practice address

103 Haywood Rd
Syracuse, NY 13219-2321

Phone

(315) 486-1712

NPI assigned

Oct 21, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1396612594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HAYWOOD RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132192321",
            "telephone_number": "315-486-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 HAYWOOD RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132192321",
            "telephone_number": "315-486-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "MICHELINA",
        "middle_name": "CARRESE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Anne Sgroi, NURSE PRACTITIONER
• Jessica Marie Sgromo, MD
• Moustafa Mahmoud Shaaban, MD
• Saeed Sami Shaaban
• Yasmeen Hetscema Shabazz
• Shirley Shafer, SLP
• Robert Stephen Shaffer, MD
• Mahzaib Shafqat, MD
• Ayushi Jayesh Shah, M.D.
• Bibek Shah, MD

• Mental Health Counselor in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.