NPIMap

Individual provider Active NPI

Carissa Pintar, PSYD,LPC, ATR-BC

  • Counselor
  • Ferndale, MI
National Provider Identifier
1659517944
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401012259 Issued in MI
Practice address
376 Hilton Suite B
Ferndale, MI 48220
Phone
(248) 200-9962
Fax
(734) 324-1566
NPI assigned
Dec 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401012259 MI
Psychologist 103T00000X 6351000427 MI
Art Therapist 221700000X 08-156 MI
Counselor 101Y00000X 6401012259 MI Primary

Addresses

Primary practice location

376 Hilton Suite B
Ferndale, MI 48220

Mailing address

2425 Dallas Ave
Royal Oak, MI 48067-3584
Phone (248) 200-9962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6401012259MIMDCounselor
6351000427MIMDPsychologist
08-156MIMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Therapeutic Arts Mental Health CurrentSince Apr 25, 2021 Accepting new patients
Richard Kneip, PH.D., P.C. Past Accepting new patients
Childrens Orthogenic Institute Psychologist Past Accepting new patients

Locations

376 Hilton Rd
Apt B
Ferndale, MI 48220
Phone (248) 200-9962

Organizations & group practices 3

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": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1659517944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 DALLAS AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673584",
            "telephone_number": "248-200-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 HILTON SUITE B",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "48220",
            "telephone_number": "248-200-9962",
            "fax_number": "734-324-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINTAR",
        "first_name": "CARISSA",
        "name_prefix": "Dr.",
        "credential": "PSYD,LPC, ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401012259",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6351000427",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "MI",
            "license": "08-156",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401012259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.