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MARIE CARMINO LMHC
NPI 1386002103
Counselor - Mental Health in Nesconset, NY

Active since February 08, 2016Opted out of Medicare · through Jan 1, 2028
22 SOUTHERN BLVD STE 109, NESCONSET, NY 11767(631) 384-0732(631) 721-4111 Get Directions Write a Review

NPPES record last updated: January 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2019, Feb 8, 2016 (2 updates tracked since 2016).

About Marie Carmino Lmhc NPPES

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

MARIE CARMINO LMHC (NPI 1386002103) is an individual mental health provider in Nesconset, New York, licensed in New York (007043) and active in the NPI registry since February 2016. She has opted out of Medicare through January 1, 2028 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386002103
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARIE CARMINOCredential: LMHC
Location Address22 SOUTHERN BLVD STE 109Nesconset, NY 11767-1086
Mailing Address4 Clematis CtLake Grove, NY 11755-1839 · (631) 384-0732 · Fax (631) 721-4111
Phone(631) 384-0732
Fax(631) 721-4111
Sole ProprietorYes
Enumeration DateFebruary 8, 2016
Last NPPES UpdateJanuary 1, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 1, 2023
✔ NPI 1386002103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 007043
22 SOUTHERN BLVD STE 109, Nesconset, NY 11767
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Other Names 1

Former Name (1)Marie Staubitzer Lmhc

Secondary Practice Locations 2

Location 11600 Deer Park AveDeer Park, NY 11729-5208 · Phone (631) 242-2250
Location 2196 N Main StSayville, NY 11782-2582 · Phone (631) 384-0732 · Fax (631) 721-4111

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Marie Carmino Lmhc 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 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 Marie Carmino's NPI number?

The NPI number for Marie Carmino is 1386002103. It was assigned to this individual provider in the NPPES registry on February 8, 2016. The provider is also known as Marie Staubitzer Lmhc.

Where is Marie Carmino located?

Marie Carmino practices at 22 Southern Blvd Ste 109, Nesconset, NY 11767. The listed phone number is (631) 384-0732.

What is Marie Carmino's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Marie Carmino enrolled in Medicare?

No. Marie Carmino has opted out of Medicare through January 1, 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 Marie Carmino was last updated on January 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.