CARISSA MCDONALD
NPI 1194450882
Counselor - Professional in Forked River, NJ

Active since July 18, 2022PECOS Enrolled
615 LACEY RD, FORKED RIVER, NJ 08731(732) 908-7753 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carissa Mcdonald NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARISSA MCDONALD (NPI 1194450882) is an individual professional provider in Forked River, New Jersey, licensed in New Jersey (37PC01119000) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194450882
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCARISSA MCDONALD
Location Address615 LACEY RDForked River, NJ 08731-2200
Mailing Address971 Us Highway 202 N Ste ABranchburg, NJ 08876-3757 · (329) 087-7537
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 18, 2022
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
NPI 1194450882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NJ · 37PC01119000
Also ListedCounselorTaxonomy 101Y00000X
615 LACEY RD, Forked River, NJ 08731

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carissa Mcdonald is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436664182
PECOS Enrollment IDI20250714000452
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
615 LACEY RD, SUITE 3
FORKED RIVER, NJ 08731
Social Worker
615 LACEY RD, SUITE 3
FORKED RIVER, NJ 08731
Eyewear Supplier
615 LACEY RD
FORKED RIVER, NJ 08731
Developmental Therapist
615 LACEY RD, SUITE 3
FORKED RIVER, NJ 08731
Dentist (General Practice)
615 LACEY RD, SUITE 5
FORKED RIVER, NJ 08731
Behavior Analyst
615 LACEY RD, SUITE 3
FORKED RIVER, NJ 08731
Behavior Analyst
615 LACEY RD, SUITE 3
FORKED RIVER, NJ 08731
Behavior Analyst
615 LACEY RD, SUITE 3
FORKED RIVER, NJ 08731

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carissa Mcdonald's NPI number?

The NPI number for Carissa Mcdonald is 1194450882. It was assigned to this individual provider in the NPPES registry on July 18, 2022.

Where is Carissa Mcdonald located?

Carissa Mcdonald practices at 615 Lacey Rd, Forked River, NJ 08731. The listed phone number is (732) 908-7753.

What is Carissa Mcdonald's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Carissa Mcdonald enrolled in Medicare?

Yes. Carissa Mcdonald is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carissa Mcdonald was last updated on April 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.