Individual provider Active NPI

Carmella R Bartimole, PH.D., LMHC

  • Mental Health Counselor
  • Olean, NY
National Provider Identifier
1508186339
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
003945-1 Issued in OK
Practice address
2626 W State St
Olean, NY 14760-1858
Phone
(716) 307-6370
NPI assigned
Jun 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 003945-1 OK Primary

Addresses

Primary practice location

2626 W State St
Olean, NY 14760-1858

Mailing address

201 Irving St
Olean, NY 14760-3521
Phone (716) 307-6370

Other practice location 1

201 Irving St
Olean, NY 14760-3521
Phone (716) 307-6370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

201 Irving St
Olean, NY 14760-3521

2626 W State St
Olean, NY 14760-1858
Phone (716) 307-6370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
003945-1OKMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1508186339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 IRVING ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147603521",
            "telephone_number": "716-307-6370",
            "fax_number": "716-376-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 W STATE ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601858",
            "telephone_number": "716-307-6370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Irving St",
            "address_purpose": "LOCATION",
            "city": "Olean",
            "state": "NY",
            "postal_code": "147603521",
            "country_code": "US",
            "telephone_number": "716-307-6370",
            "fax_number": "716-376-7022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTIMOLE",
        "first_name": "CARMELLA",
        "middle_name": "R",
        "credential": "PH.D., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "003945-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.