Jennifer Christie Cardine, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

011377 Issued in NY

Practice address

16 Distillery Rd
Warwick, NY 10990-2701

Phone

(845) 545-2215

NPI assigned

Jun 26, 2007

Last updated

May 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• None None Kruse Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Sep 9, 2024 through Sep 9, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1548466501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 DISTILLERY RD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109902701",
            "telephone_number": "845-545-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 DISTILLERY RD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109902701",
            "telephone_number": "845-545-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDINE",
        "first_name": "JENNIFER",
        "middle_name": "CHRISTIE",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011377",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NONE",
            "last_name": "KRUSE",
            "middle_name": "NONE",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristina Caiazzo-Sikorski
• Tracy Cairns, RN
• Shawn L Cammarota, LMHC
• Jamie Marie Carcaterra, COTA
• Linda Card
• Annalisa Carreras, M.S., CCC-SLP
• Christine Scheuer Carter, FNP
• Christina Cassidy, RN, IBCLC
• Angelica Castaldo, LMHC
• Joanne C Cedeno, LMHC

• Mental Health Counselor in Warwick, NY
• Providers in Warwick, 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 May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.