Carol B. Carlson Mental Heatlh Counseling, P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CAROL B. CARLSON MENTAL HEATLH COUNSELING, P.C.

Practice address

490 Cross Keys Office Park
Fairport, NY 14450-3506

Phone

(585) 466-0545

Fax

(585) 504-7019

NPI assigned

Jan 16, 2024

Organization subpart

No

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

Authorized official

Name

Carol B Carlson, LMHCNPI 1922513639

Title

President

Phone

(585) 466-0545

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol B Carlson, LMHC

  • Mental Health Counselor
  • Fairport, NY
  • NPI 1922513639
  NPD Authorized official

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1679334809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2698 BAIRD RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501224",
            "telephone_number": "585-466-0545",
            "fax_number": "585-504-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 CROSS KEYS OFFICE PARK",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503506",
            "telephone_number": "585-466-0545",
            "fax_number": "585-504-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL B. CARLSON MENTAL HEATLH COUNSELING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-466-0545",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Mary Cardner, NYS LMT
• Kelly A Carey, LMT
• Katherine Carlough
• Carol B Carlson, LMHC
• Nikole Carmel, LPN
• Beth Louise Carpenter, N.P.
• Nancy G. Carr, RPT
• Shannon Jean Carr, MS, CAS, NCSP, BCBA,
• Benjamin A. Caruso, D.C.
• Casira Mental Health Counseling PLLC

• Mental Health Counselor in Fairport, NY
• Providers in Fairport, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.