Carissa Lynette Dore, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH13256 Issued in FL

Practice address

12400 Yellow Bluff Rd Ste 107
Jacksonville, FL 32226-5070

Phone

(904) 339-5937

NPI assigned

Jul 17, 2012

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Living Well Collective Co

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville, FL
  • NPI 1700460250
  NPD Authorized official
• Hope and a Future Ministries Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville, FL
  • NPI 1720500093
  NPD (past) Authorized official

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982959961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 YELLOW BLUFF RD STE 107",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322265070",
            "telephone_number": "904-339-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 YELLOW BLUFF RD STE 107",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322265070",
            "telephone_number": "904-339-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORE",
        "first_name": "CARISSA",
        "middle_name": "LYNETTE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel S Dorbu, PHARMD
• Dadiline Dorce, MD, APRN
• Bercline Dorcelus, RN, BSN
• Jarrod Dorchnic, PA-C
• Marjorie Dorcin
• Risa Shuler Doria, MSN, ARNP, CS
• Brenda Lizette Garcia Doris
• Steve M Dorman, MD
• Sheri Renee Dorner, APRN
• Christina Dornton, MA, LMHC

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.