Active NPI
Christine Joanne Carlberg, MAMFT LPC
- Counselor
- Greenville, SC
National Provider Identifier
1699899112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0823
- Practice address
- 124 Mallard Street
Greenville, SC 29601-4046 - Phone
- (864) 241-1040
- Fax
- (864) 241-8187
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0823 | MS | Primary |
Addresses
Primary practice location
124 Mallard Street
Greenville, SC 29601-4046
Mailing address
124 Mallard Street
Greenville, SC 29601-4046
Phone (864) 241-1040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 301100 | Medicaid | SC |
Other names 1
- Christine Joanne Shucy
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0823 | MS | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699899112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 MALLARD STREET",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296014046",
"telephone_number": "864-241-1040",
"fax_number": "864-241-8187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 MALLARD STREET",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296014046",
"telephone_number": "864-241-1040",
"fax_number": "864-241-8187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLBERG",
"first_name": "CHRISTINE",
"middle_name": "JOANNE",
"name_prefix": "Mrs.",
"credential": "MAMFT LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MS",
"license": "0823",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "301100",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "SHUCY",
"middle_name": "JOANNE",
"credential": "MAMFT BS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.