NPI registry status
Active
2026 NPPES data Mental Health Counselor NPI 1235213547 RN NP
Verify on CMS → Karen Giuliani, RN NP
Mental Health Counselor in Massapequa, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 293,893 in Mental Health Counselor, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
2K
Medicare Part D claims · 104 beneficiaries · Mental Health Counselor avg: 1K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$402.13
21 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Karen Giuliani, RN NP filed 1,550 Medicare Part D claims in 2023 as a Mental Health Counselor in Massapequa, New York, prescribing 93% generic.
- 2K
- Part D claims, 2023
- 93%
- generic prescribing
- $402.13
- industry payments (Sunshine Act)
- ≥81st
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Karen Giuliani, RN NP
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1235213547), first enumerated 10/24/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,550 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Industry payment transparency
$402.13 in reported industry payments (21 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
New York statewide board action statistics are published annually — these figures describe aggregate state activity, not Karen Giuliani, RN NP's individual license status. Verify directly with the state medical board.
Source: NYSBPMC annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1235213547 · Mental Health Counselor
NPI-10 · ENUM-LEGACY · TAX-MEGA · RX-MID · BOOK-MID · PHOTO-ENUM
- NPI-10 1235213547
- ENUM-LEGACY 2006
- TAX-MEGA 294K Mental Health
- RX-MID 1,550
- BOOK-MID 18,946 in New York
- PHOTO-ENUM Nancee Neel · 2006
Karen Giuliani, RN NP's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,550 ≥ 81st percentile 81% of 1,370,886 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Karen Giuliani, RN NP?
Quality data not reportedPrimary specialty
Mental Health Counselor
Medicare Part D claims
1,550 46% vs specialty avg
Specialty distribution in New York
How Mental Health Counselor compares to other specialties among New York providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Mental Health Counselor. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1235213547 |
|---|---|
| Specialty | Mental Health Counselor |
| Credentials | RN NP |
| Gender | Female |
| NPI Issued | 10/24/2006 |
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Karen Giuliani, RN NP. Source: openpaymentsdata.cms.gov.
Total received
$402
Largest payer
ABBVIE INC.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - New York NYSBPMC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 - they are NOT specific to Karen Giuliani, RN NP. To verify Karen Giuliani, RN NP's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Karen Giuliani, RN NP - brand share 7.0%
Mental Health Counselor average
7% brand-name claims vs 93% generic, on 1,550 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
1,550
Total Claims
$214K
Total Drug Cost
104
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,506
- Total Day Supply
- 74,569
- Brand vs Generic
- 7% brand / 93% generic
- Brand Drug Cost
- $152K
- Generic Drug Cost
- $61K
Patient Demographics
- Average Patient Age
- 65.5 years
- Avg HCC Risk Score
- 1.37
- Gender Split
- 69% female / 31% male
- Age Distribution
- <65: 40, 65-74: 36, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Karen Giuliani, RN NP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Alprazolam
Alprazolam
174 claims
- Zolpidem Tartrate
Zolpidem Tartrate
106 claims
- Clonazepam
Clonazepam
97 claims
- Lorazepam
Lorazepam
92 claims
- Lamotrigine
Lamotrigine
87 claims
- Bupropion Xl
Bupropion Xl
81 claims
- Dextroamphetamine-… 63
Dextroamphetamine-Amphetamine
63 claims
- Gabapentin 63
Gabapentin
63 claims
| Drug | Claims |
|---|---|
| Alprazolam | 174 |
| Zolpidem Tartrate | 106 |
| Clonazepam | 97 |
| Lorazepam | 92 |
| Lamotrigine | 87 |
| Bupropion Xl Bupropion Hcl | 81 |
| Dextroamphetamine-Amphetamine Dextroamphetamine/Amphetamine | 63 |
| Gabapentin | 63 |
| Escitalopram Oxalate | 58 |
| Desvenlafaxine Succinate Er Desvenlafaxine Succinate | 56 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Mental Health Counselor Overview
How Karen Giuliani, RN NP fits within the Mental Health Counselor landscape nationally.
293,893
Mental Health Counselor Providers in US
55
States with Mental Health Counselor
1,063
Avg Claims per Provider
Karen Giuliani, RN NP's 1,550 claims are above the specialty average of 1,063.
Nationwide Mental Health Counselor peers with similar MIPS or enrollment year
Two federal-record peer sets for Giuliani, both outside New York so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Mental Health Counselor Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Giuliani.
One of 18,946 Mental Health Counselor providers enrolled in New York, 5 are shown here.
Amena Aamir
Bronx, NY
Brian Aarons
Hempstead, NY
Dr. Edirin Abada
MHC
Brooklyn, NY
Fortune Abadi
Brooklyn, NY
Yehuda Abadi
Far Rockaway, NY
Compare Mental Health Counselor nationally: see state-by-state distribution →
Frequently Asked Questions
What is Karen Giuliani, RN NP's specialty? ▼
Karen Giuliani, RN NP specializes in Mental Health Counselor and practices in Massapequa, New York. Credentials: RN NP.
How much does Karen Giuliani, RN NP prescribe under Medicare Part D? ▼
In 2023, Karen Giuliani, RN NP wrote 1,550 Medicare Part D claims totaling $214K in drug costs for 104 beneficiaries.
Where is Karen Giuliani, RN NP located? ▼
Karen Giuliani, RN NP is located at 25 CARMANS RD, Massapequa, NY, 11758. Phone: (631) 598-2878.
What is Karen Giuliani, RN NP's NPI number? ▼
Karen Giuliani, RN NP's National Provider Identifier (NPI) is 1235213547, issued on 10/24/2006.
Does Karen Giuliani, RN NP prescribe more brand-name or generic drugs? ▼
Karen Giuliani, RN NP's prescribing is 7% brand-name and 93% generic drugs by claim count, with $152K in brand drug costs.
How many Mental Health Counselor providers are there in the US? ▼
There are 293,893 Mental Health Counselor providers across 55 states in the US. The average Mental Health Counselor provider writes 1,063 Medicare Part D claims per year.
What drugs does Karen Giuliani, RN NP prescribe most often? ▼
Based on 2023 Medicare Part D data, Karen Giuliani, RN NP's most frequently prescribed drugs include Alprazolam, Zolpidem Tartrate, Clonazepam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Karen Giuliani, RN NP accept Medicare? ▼
Karen Giuliani, RN NP appears in CMS Medicare data with 1,550 Part D claims and 104 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Karen Giuliani, RN NP's credentials? ▼
Karen Giuliani, RN NP's NPI is 1235213547 with credentials RN NP. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.