CARRIE ELIZABETH BASTOW
NPI 1326182643
Counselor - Professional in Erie, PA

Active since February 19, 2007Opted out of Medicare · through Feb 9, 2028
4021 W 12TH ST OFC 3, ERIE, PA 16505(814) 806-4474 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carrie Elizabeth Bastow NPPES

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

CARRIE ELIZABETH BASTOW (NPI 1326182643) is an individual professional provider in Erie, Pennsylvania, licensed in Pennsylvania (PC004300) and active in the NPI registry since February 2007. She has opted out of Medicare through February 9, 2028.

NPPES Registry Identity

NPI1326182643
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCARRIE ELIZABETH BASTOW
Location Address4021 W 12TH ST OFC 3Erie, PA 16505-3354
Mailing Address4021 W 12th St Ofc 3Erie, PA 16505-3354 · (814) 806-4474
Sole ProprietorYes
Enumeration DateFebruary 19, 2007
Last NPPES UpdateJanuary 4, 2021
NPPES CertifiedJanuary 4, 2021
✔ NPI 1326182643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC004300
4021 W 12TH ST OFC 3, Erie, PA 16505

Other Names 1

Former Name (1)Carrie Elizabeth Nestor

Other Identifiers 1

Other251317492Vantage

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Carrie Elizabeth Bastow has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 9, 2024 through February 9, 2028.

Opt-Out Effective DateFebruary 9, 2024
Opt-Out In Effect ThroughFebruary 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Carrie Bastow's NPI number?

The NPI number for Carrie Bastow is 1326182643. It was assigned to this individual provider in the NPPES registry on February 19, 2007. The provider is also known as Carrie Elizabeth Nestor.

Where is Carrie Bastow located?

Carrie Bastow practices at 4021 W 12th St Ofc 3, Erie, PA 16505. The listed phone number is (814) 806-4474.

What is Carrie Bastow's specialty?

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

Is Carrie Bastow enrolled in Medicare?

No. Carrie Bastow has opted out of Medicare through February 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Carrie Bastow was last updated on January 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.