Individual provider Active NPI

Carrie Douglas Land-Steves, LMFT

  • Marriage & Family Therapist
  • Manlius, NY
National Provider Identifier
1609618826
Registry record updated Jun 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000925 Issued in NY
Practice address
7472 Armstrong Rd
Manlius, NY 13104-1418
Phone
(607) 227-3075
NPI assigned
Jun 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000925 NY Primary

Addresses

Primary practice location

7472 Armstrong Rd
Manlius, NY 13104-1418

Mailing address

7472 Armstrong Rd
Manlius, NY 13104-1418
Phone (607) 227-3075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20251119003693 NY Practitioner - Marriage and Family Therapist 9638661432 Practice locations: Fayetteville, NY

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

212 Highbridge St
Suite B
Fayetteville, NY 13066-1981
Phone (315) 600-8123

4317 E Genesee St
Suite 204
Syracuse, NY 13214-2114

7472 Armstrong Rd
Manlius, NY 13104-1418

PO Box
Suite 425
Fayetteville, NY 13066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000925NYMDPsychoanalyst

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718409600000",
    "number": "1609618826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7472 ARMSTRONG RD",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131041418",
            "telephone_number": "607-227-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7472 ARMSTRONG RD",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131041418",
            "telephone_number": "607-227-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAND-STEVES",
        "first_name": "CARRIE",
        "middle_name": "DOUGLAS",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-15",
        "certification_date": "2024-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manlius, NY

Sources for this page

Verify at the official NPI Registry.