CLARISA CARBALLO (LMHC) – Mental Health Counselor, NPI 1831359835
Mental Health Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CLARISA CARBALLO (LMHC)
630 W 36TH ST
HIALEAH, FL 330125136
Phone: (786) 395-5714
Type: Location
11031, Northeast 6th Avenue, Miami Shores, Miami-Dade County, Florida, 33161, United States
MIAMI, FL 331617182
Phone: (305) 398-6100
Fax: (305) 757-4465
Type: Mailing
1905, Northwest 82nd Avenue, Doral, Miami-Dade County, Florida, 33126, United States
DORAL, FL 331261011
Phone: (786) 260-0160
Fax: (305) 406-9478
Type: Location
5420 NW 33RD AVE # 6
FORT LAUDERDALE, FL 333096348
Phone: (954) 271-2323
Fax: (772) 675-9100
Type: Location
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: 2024-05-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240514002411 | I | Mental Health Counselor | FL | TBD |
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.
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 33012)
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