Individual provider Active NPI

Raymond Barrett, LPC, LMHC

  • Mental Health Counselor
  • Canandaigua, NY
National Provider Identifier
1003055500
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
005308 Issued in NY
Practice address
514 S Main St
Canandaigua, NY 14424-2246
Phone
(585) 857-6122
Fax
(585) 905-3239
NPI assigned
Feb 7, 2009
Last updated
Oct 2, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 005308 NY Primary
Professional Counselor 101YP2500X LPC006295 GA
Professional Counselor 101YP2500X 8823 NC

Addresses

Primary practice location

514 S Main St
Canandaigua, NY 14424-2246

Mailing address

261 S Pearl St
Canandaigua, NY 14424-1749
Phone (585) 857-6122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC006295GAMDProfessional Counselor
8823NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life's Canvas Professional Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1233964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1003055500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 S PEARL ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241749",
            "telephone_number": "585-857-6122",
            "fax_number": "585-905-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S MAIN ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144242246",
            "telephone_number": "585-857-6122",
            "fax_number": "585-905-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "RAYMOND",
        "credential": "LPC, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-07",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005308",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006295",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8823",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.