Active NPI
Karisa Endelmann
- Mental Health Counselor
- Lindenhurst, NY
National Provider Identifier
1821377169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 006370
- Practice address
- 183 South Wellwood Ave
Suite a
Lindenhurst, NY 11757 - Phone
- (631) 392-6440
- NPI assigned
- Aug 4, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 22378 | NY | |
| Mental Health Counselor | 101YM0800X | 006370 | NY | Primary |
Addresses
Primary practice location
183 South Wellwood Ave
Suite a
Lindenhurst, NY 11757
Mailing address
183 South Wellwood Ave
Suite a
Lindenhurst, NY 11757
Phone (631) 612-4556
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 |
|---|---|---|---|
| 006370 | NY | MD | Counselor |
| 22378 | NY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570752000000",
"number": "1821377169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "183 SOUTH WELLWOOD AVE",
"address_2": "SUITE A",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "11757",
"telephone_number": "631-612-4556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "183 SOUTH WELLWOOD AVE",
"address_2": "SUITE A",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "11757",
"telephone_number": "631-392-6440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENDELMANN",
"first_name": "KARISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-04",
"last_updated": "2019-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "22378",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "006370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lindenhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.