Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carissa Provost, LMHC-P

Individual provider Mental Health Counselor · NPI 1568125383

Carissa Provost, LMHC-P is a Mental Health Counselor in Plattsburgh, New York. Qualified in 2021, 5 years ago. Practices with North Country Behavioral Medicine PLLC, a 21-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
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Practice location Address checks out

8 Broad St
Plattsburgh, NY 12901-3420
Phone: (518) 825-1555
Fax: (518) 825-1550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 013715 (NY)

Record details

NPI number1568125383
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC-P
Sole proprietorNo
NPI enumeratedOctober 19, 2021
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice North Country Behavioral Medicine Pllc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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