Active NPI
Carley Chamberlin, M.S.. NCC, LPC
- Mental Health Counselor
- Stroudsburg, PA
National Provider Identifier
1477924488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC009120
- Practice address
- 612 Main St Ste 227
Stroudsburg, PA 18360-2006 - Phone
- (570) 982-4158
- NPI assigned
- Oct 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC009120 | PA | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
612 Main St Ste 227
Stroudsburg, PA 18360-2006
Mailing address
612 Main St Ste 227
Stroudsburg, PA 18360-2006
Phone (570) 982-4158
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 |
|---|---|---|---|
| PC009120 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Mindful Insight Counseling, LLC | Mental Health | Past | Accepting new patients |
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
- Stroudsburg, PA
- NPI 1447755426
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522108800000",
"number": "1477924488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 MAIN ST STE 227",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "183602006",
"telephone_number": "570-982-4158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 MAIN ST STE 227",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "183602006",
"telephone_number": "570-982-4158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERLIN",
"first_name": "CARLEY",
"credential": "M.S.. NCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-16",
"last_updated": "2018-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC009120",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.