Christine Marinda Carroll, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

006644 Issued in NY

Practice address

4697 Kings Corners Rd
Romulus, NY 14541-9771

Phone

(585) 764-4254

NPI assigned

Oct 22, 2020

Last updated

Oct 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1710586599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4697 KINGS CORNERS RD",
            "city": "ROMULUS",
            "state": "NY",
            "postal_code": "145419771",
            "telephone_number": "585-764-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4697 KINGS CORNERS RD",
            "city": "ROMULUS",
            "state": "NY",
            "postal_code": "145419771",
            "telephone_number": "585-764-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "CHRISTINE",
        "middle_name": "MARINDA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melaina Bell
• Babette Bennett
• Roxanne Lynn Boyer
• Rachel Marie Covert, RN, BSN
• Marie E Dunn, RNC PNP
• Erin Marie Fazzio, OTA
• Molly Kathleen Fischer, AGPCNP-BC
• Sharon E. Gullo, PEDIATRIC NURSE PRAC

• Mental Health Counselor in Romulus, NY
• Providers in Romulus, 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 Oct 22, 2020; 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.