Individual provider Active NPI

Marsha Lynn Caraway, LPC

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1619088291
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17864 Issued in TX
Practice address
5025 N Central Expy
Suite 2060
Dallas, TX 75205-3451
Phone
(469) 879-2588
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 17864 TX Primary

Addresses

Primary practice location

5025 N Central Expy
Suite 2060
Dallas, TX 75205-3451

Mailing address

320 S Hastings St
Irving, TX 75060-2945
Phone (469) 879-2588

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
I20250107001428 NY Practitioner - Mental Health Counselor 7719415587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Life NJ PAGroup PAC ID 8921549551, 13 clinicians

Practice addresses (Care Compare)

136 Madison Ave
FL 6
New York, NY 10016-6795
Phone (800) 567-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006413NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life NJ P.a. CurrentSince Dec 1, 2024 Accepting new patients

Locations

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

136 Madison Ave
Fl 6
New York, NY 10016
Phone (917) 582-6622

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619088291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S HASTINGS ST",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750602945",
            "telephone_number": "469-879-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 N CENTRAL EXPY",
            "address_2": "SUITE 2060",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752053451",
            "telephone_number": "469-879-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARAWAY",
        "first_name": "MARSHA",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.