Active NPI
Carolyn Mraz
- Mental Health Counselor
- Rochester, NY
National Provider Identifier
1851612964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PRO56488
- Practice address
- 81 Lake Ave
Rochester, NY 14608-1410 - Phone
- (585) 368-6900
- NPI assigned
- Jun 14, 2010
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PRO56488 | NY | Primary |
Addresses
Primary practice location
81 Lake Ave
Rochester, NY 14608-1410
Mailing address
81 Lake Ave
Rochester, NY 14608-1410
Phone (585) 368-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J400068233 | Other | NY | MEDICARE PIN UNDER GROUP J100044293 |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRO56488 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427760000000",
"number": "1851612964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 LAKE AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146081410",
"telephone_number": "585-368-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 LAKE AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146081410",
"telephone_number": "585-368-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MRAZ",
"first_name": "CAROLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-14",
"last_updated": "2015-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "PRO56488",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN UNDER GROUP J100044293",
"identifier": "J400068233",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.