Individual provider Active NPI

Krystle Marie Carpenter, LMHC-LP

  • Mental Health Counselor
  • Yonkers, NY
National Provider Identifier
1861144230
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
013312 Issued in NY
Practice address
1 Executive Blvd Ste 178
Yonkers, NY 10701-6836
Phone
(914) 595-1482
Fax
(914) 265-8937
NPI assigned
Jan 26, 2022
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 013312 NY Primary
Mental Health Counselor 101YM0800X P112367 NY

Addresses

Primary practice location

1 Executive Blvd Ste 178
Yonkers, NY 10701-6836

Mailing address

667 Stoneleigh Ave Ste 202
Carmel, NY 10512-2455
Phone (845) 795-5908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241108003445 NY Practitioner - Mental Health Counselor 4082148309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carmel Psychological Health PCGroup PAC ID 4385530351, 222 clinicians

Practice addresses (Care Compare)

1 Executive Blvd
Suite 178
Yonkers, NY 10701-6836
Phone (914) 595-1482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P112367NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel Psychological Health, PC Mental Health CurrentSince Sep 5, 2024 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223

1 Executive Blvd
Ste 178
Yonkers, NY 10701
Phone (914) 595-1482

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1861144230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 STONELEIGH AVE STE 202",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122455",
            "telephone_number": "845-795-5908",
            "fax_number": "845-622-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE BLVD STE 178",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107016836",
            "telephone_number": "914-595-1482",
            "fax_number": "914-265-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "KRYSTLE",
        "middle_name": "MARIE",
        "credential": "LMHC-LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013312",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P112367",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.