Carissa Danae Haberlin, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39004085A Issued in IN

Practice address

800 E 86TH Ave Ste B
Merrillville, IN 46410-6270

Phone

(219) 595-0043

Fax

(219) 237-2894

NPI assigned

Nov 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carissa Boekeloo Former name

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nwi Clarity ClinicGroup PAC ID 5991082976, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ccin.carissa.haberlin@138327.advancedmd-direct.com

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.

• Nwi Clarity Clinic

  • Clinical Social Worker
  • Munster, IN
  • NPI 1619412160
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679702400000",
    "number": "1407325277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E 86TH AVE STE B",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106270",
            "telephone_number": "219-595-0043",
            "fax_number": "219-237-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 86TH AVE STE B",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106270",
            "telephone_number": "219-595-0043",
            "fax_number": "219-237-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABERLIN",
        "first_name": "CARISSA",
        "middle_name": "DANAE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-21",
        "last_updated": "2023-03-25",
        "certification_date": "2023-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39004085A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARISSA",
            "last_name": "BOEKELOO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margaret Gurley, R.PH.
• Jessica Gutesha
• Carlos M Guzman-Garcia
• Antonio Guzman
• Habah Homecare Services LLC
• Dominique Hacker, RBT
• Rawan Haddad, MSCC, CARC-MH/GS
• Husam Hafzah, MD
• Deborah Anne Hager, BA
• Samantha Hainline, ATC

• Mental Health Counselor in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.