Katelyn Ackley
Individual provider Active NPI Mental Health Counselor · East Rochester, NY
NPI 1013716299 · NPPES record last updated Mar 11, 2025
Key facts
- NPI
- 1013716299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- P126035 (NY)
- Practice address
- 349 W Commercial St Ste 2195
East Rochester, NY 14445-2414 - Phone
- (585) 683-6601
- NPI assigned
- Mar 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P126035 | NY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P126035 | NY | Yes |
Addresses
Primary practice location
349 W Commercial St Ste 2195
East Rochester, NY 14445-2414
Mailing address
40 Meadowlark Dr
Penfield, NY 14526-2036
Phone (585) 683-6601
Other providers in East Rochester, NY
- Kathryn Alkins
- Erin Blair Allen
- Allison Steger Mental Health Counselor PLLC
- Edward Asaly
- Balance Acupuncture LLC
All providers in East Rochester, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.