CARISSA MCDONALD NPI 1194450882

NPI Information

  • NPI: 1194450882
  • Provider Name: CARISSA MCDONALD
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 615 LACEY RD
    FORKED RIVER, NJ
    ZIP 08731
  • Phone: (732) 908-7753

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NPI Details

Carissa Mcdonald is a professional counselor in Forked River, NJ with 8 years of experience. Carissa Mcdonald NPI is 1194450882. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

615 LACEY RD
FORKED RIVER, NJ
ZIP 08731-200
Phone: (732) 908-7753

The NPI 1194450882 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/18/2022 and was last updated on 4/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2101YP2500XCounselorProfessional37PC01119000NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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