Creative Counseling Mental Health Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

007868 Issued in NY

Legal business name

CREATIVE COUNSELING MENTAL HEALTH SERVICES

Practice address

444 E Boston Post Rd Ste 206
Mamaroneck, NY 10543-3704

Phone

(914) 236-5097

Fax

(347) 348-6078

NPI assigned

Mar 15, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Carissa Marie Boncardo, LMHCNPI 1396197364

Title

Licensed Mental Health Counselor

Phone

(917) 415-4203

Specialties & licenses 1

Addresses

Other names 1

• Carissa Boncardo LMHC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carissa Boncardo, LMHC

  • Mental Health Counselor
  • Mamaroneck, NY
  • NPI 1396197364
  NPD Authorized official

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1477056539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 E BOSTON POST RD STE 206",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105433704",
            "telephone_number": "914-236-5097",
            "fax_number": "347-348-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 E BOSTON POST RD STE 206",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105433704",
            "telephone_number": "914-236-5097",
            "fax_number": "347-348-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COUNSELING MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "BONCARDO",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "917-415-4203",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carissa Boncardo LMHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christian Concillion
• Angela Marie Conde, LMFT
• Kathryn Conley, PH.D.
• Nicole Conlin
• Melodie Cortes
• Cheryl Crick, RPH
• Amy Brooke Critton, DAOM, LAC
• Danitza Cruz
• Tyler A Cuevas
• Christine Cunningham

• Mental Health Counselor in Mamaroneck, NY
• Providers in Mamaroneck, 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 Jul 31, 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.