Individual provider Active NPI

Karissa Ortiz, LPCA, NCC

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1619446671
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A14249 Issued in NC
Practice address
3010 Barrymore St Unit 110
Raleigh, NC 27603-3374
Phone
(919) 321-5156
NPI assigned
Nov 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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 A14249 NC Primary

Addresses

Primary practice location

3010 Barrymore St Unit 110
Raleigh, NC 27603-3374

Mailing address

3010 Barrymore St Unit 110
Raleigh, NC 27603-3374
Phone (919) 321-5156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20251202001268 NC Practitioner - Mental Health Counselor 3274026968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1044 Peach Orchard Rd
Four Oaks, NC 27524-9745
Phone (919) 628-6912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A14249NCMDMental Health Counselor
14249NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Connections, PLLC Mental Health CurrentSince Oct 13, 2025 Accepting new patients

Locations

4312 Wake Forest Rd
Ste 2E2
Raleigh, NC 27609

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": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1619446671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 BARRYMORE ST UNIT 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033374",
            "telephone_number": "919-321-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 BARRYMORE ST UNIT 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033374",
            "telephone_number": "919-321-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "KARISSA",
        "credential": "LPCA, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A14249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.