Active NPI
Mariangela Carr
- Marriage & Family Therapist
- Geneva, IL
National Provider Identifier
1710351143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 001326
- Practice address
- 321 Hamilton St
Geneva, IL 60134-2148 - Phone
- (203) 505-4594
- NPI assigned
- Nov 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 001326 | CT | Primary |
Addresses
Primary practice location
321 Hamilton St
Geneva, IL 60134-2148
Mailing address
321 Hamilton St
Geneva, IL 60134-2148
Phone (203) 505-4594
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 |
|---|---|---|---|
| 001326 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Action Consulting and Therapy, PLLC | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Geneva, IL
- NPI 1730575184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485734400000",
"number": "1710351143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 HAMILTON ST",
"city": "GENEVA",
"state": "IL",
"postal_code": "601342148",
"telephone_number": "203-505-4594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 HAMILTON ST",
"city": "GENEVA",
"state": "IL",
"postal_code": "601342148",
"telephone_number": "203-505-4594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "MARIANGELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-23",
"last_updated": "2017-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "001326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.