Individual provider Active NPI

Kristin Marie Ferri, LMHC

  • Counselor
  • Penfield, NY
National Provider Identifier
1003021312
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1794 Penfield Rd
Penfield, NY 14526-2124
Phone
(585) 210-8656
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1794 Penfield Rd
Penfield, NY 14526-2124

Mailing address

1794 Penfield Rd
Penfield, NY 14526-2124
Phone (585) 210-8656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Mental Health Counseling CurrentSince Jan 28, 2024 Accepting new patients

Locations

1794 Penfield Rd
Penfield, NY 14526
Phone (585) 210-8656

1794 Penfield Rd
Uppr
Penfield, NY 14526
Phone (585) 210-2240

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/7c4ed6b7-c140-41eb-bc5a-5ee81640f80d/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1003021312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1794 PENFIELD RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262124",
            "telephone_number": "585-210-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1794 PENFIELD RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262124",
            "telephone_number": "585-210-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRI",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penfield, NY

Sources for this page

Verify at the official NPI Registry.