MR. CARL BASTIEN – Mental Health Counselor, NPI 1992939540

MR. CARL BASTIEN is a healthcare provider. based in Tampa, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. MH19094 (FL). The NPI Number for MR. CARL BASTIEN is 1992939540

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
MR. CARL BASTIEN
NPI
1992939540
Phone
(813) 384-4108
Address
4422 E Columbus Dr
Enumeration Date
12 May 2009
Last Update Date
16 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8104965777
Graduation Year
2013 (13 years ago)
PAC ID
1951751395
Group Practice PAC ID
6002051091
Professional Enrollment ID
I20250925002488
Address ID
MI485032421FL725XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:17State licenses:2Digital endpointsOther names

3,020 MENTAL HEALTH COUNSELOR in FL

Provider Addresses for MR. CARL BASTIEN

  • 4422 E Columbus Dr

    Tampa, FL 336053233

    Phone: (813) 384-4108

    Type: Location

  • 725 MASON ST

    FLINT, MI 485032421

    Phone: (810) 496-5777

    Type: Location

  • West Pierson Road, Flint, Genesee County, Michigan, 48504, United States

    FLINT, MI 48503

    Phone:

    Type: Mailing

  • East Pierson Road, McGrew Junction, Flint, Genesee County, Michigan, 48505, United States

    FLINT, MI 48503

    Phone: (810) 785-4930

    Type: Location

  • 4422 E COLUMBUS DR

    TAMPA, FL 336053233

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250925002488IMental Health CounselorMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33605)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002051091View full group profile
NameSpecialtyState
Physician AssistantMI
Nurse PractitionerMI
-MI
Physician AssistantMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Occupational Therapist In Private PracticeMI
Internal MedicineMI
Nurse PractitionerMI
Mental Health CounselorAL

Reviews

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Frequently asked questions

Can I use this page to confirm MR. CARL BASTIEN's NPI?
Yes. MR. CARL BASTIEN is listed with NPI 1992939540 in the public NPI dataset.
Does the file indicate MR. CARL BASTIEN is practicing under active NPI?
Directory data currently reports MR. CARL BASTIEN as active.
What is MR. CARL BASTIEN's primary classification?
Mental Health Counselor is the headline specialty for MR. CARL BASTIEN here. Clinical services aligned with this taxonomy classification.
Does MR. CARL BASTIEN list a practice location?
Patients near Tampa, Florida may find MR. CARL BASTIEN in results; validate coverage separately.
Why does MR. CARL BASTIEN have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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