Active NPI
Justin Carbone
- Counselor
- Dayton, OH
National Provider Identifier
1457710246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C.2506772
- Practice address
- 376 Regency Ridge Dr
Dayton, OH 45459-4251 - Phone
- (937) 280-6550
- NPI assigned
- Feb 22, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C.2506772 | OH | Primary |
Addresses
Primary practice location
376 Regency Ridge Dr
Dayton, OH 45459-4251
Mailing address
376 Regency Ridge Dr
Dayton, OH 45459-4251
Phone (937) 280-6550
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2506772 | OH | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calypso Counseling, LLC | Current | Accepting new patients |
Locations
376 Regency Ridge Dr
Dayton, OH 45459
Phone (937) 216-3825
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.
-
- Mental Health Counselor
- Dayton, OH
- NPI 1649879248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1457710246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "376 REGENCY RIDGE DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454594251",
"telephone_number": "937-280-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "376 REGENCY RIDGE DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454594251",
"telephone_number": "937-280-6550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARBONE",
"first_name": "JUSTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-22",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C.2506772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.