Carly Patrice Baldwin, MA, LBS

Primary specialty

CounselorTaxonomy code 101Y00000X

License

BH005411 Issued in PA

Practice address

160 Roosevelt Ave
York, PA 17401-3378

Phone

(717) 845-2425

Fax

(717) 845-2682

NPI assigned

Jul 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Carly Patrice Miller Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• T. W. Ponessa and Associates Counseling

  • Community/Behavioral Health Agency
  • Lancaster, PA
  • NPI 1881144004
  NPD (past)
• T.W. Ponessa & Associates Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • Lancaster, PA
  • NPI 1053341859
  NPD (past)

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1659944288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N PRINCE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033010",
            "telephone_number": "717-560-7917",
            "fax_number": "717-560-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ROOSEVELT AVE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174013378",
            "telephone_number": "717-845-2425",
            "fax_number": "717-845-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "CARLY",
        "middle_name": "PATRICE",
        "credential": "MA, LBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "BH005411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "MILLER",
            "middle_name": "PATRICE",
            "prefix": "MRS.",
            "credential": "MA, LBS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William Baker
• Nadia Baki
• Kathrine Bakke-Friedland, PHD
• Andrew John Balberchak
• Amanda Pauline Baldridge-Ford, CRNP
• Michelle Baldwin, PT
• Rebecca Baldwin, MS OTR-L
• Sean Baldwin, CSFA
• Harry K Ballantyne Jr., PAC
• Lauren Balthaser, MPH, BSN, RN

• Counselor in York, PA
• Providers in York, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.