Individual provider Active NPI

Christopher Harold Carnley Jr., MS, LMHC

  • Mental Health Counselor
  • Mary Esther, FL
National Provider Identifier
1538711122
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
16524 Issued in FL
Practice address
151 Mary Esther Blvd # 201
Mary Esther, FL 32569-1972
Phone
(850) 862-6030
NPI assigned
Jul 12, 2019
Last updated
Jul 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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 16524 FL Primary

Addresses

Primary practice location

151 Mary Esther Blvd # 201
Mary Esther, FL 32569-1972

Mailing address

228 Amberjack Dr Unit 26
Fort Walton Beach, FL 32548-6226
Phone (850) 377-3416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20241015004847 FL Practitioner - Mental Health Counselor 9133651144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph P Skelly PAGroup PAC ID 5395793665, 2 clinicians

Practice addresses (Care Compare)

151 Mary Esther Blvd
Suite 201
Mary Esther, FL 32569-1972
Phone (850) 862-6030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
16524FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph P Skelly, P.a. Mental Health CurrentSince Oct 2, 2024 Accepting new patients

Locations

151 Mary Esther Blvd
#201
Mary Esther, FL 32569
Phone (850) 862-6030

151 Mary Esther Blvd
Ste 201
Mary Esther, FL 32569
Phone (850) 862-6030

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1538711122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 AMBERJACK DR UNIT 26",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325486226",
            "telephone_number": "850-377-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MARY ESTHER BLVD # 201",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325691972",
            "telephone_number": "850-862-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNLEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "HAROLD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "16524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mary Esther, FL

Sources for this page

Verify at the official NPI Registry.