Active NPI
Celine Ledereich, LMHC
- Mental Health Counselor
- Airmont, NY
National Provider Identifier
1063865376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 006891-1
- Practice address
- 26 Wallenberg Cir
Airmont, NY 10952-2800 - Phone
- (845) 596-7040
- NPI assigned
- Jul 21, 2016
- Last updated
- Sep 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 006891-1 | NY | Primary |
Addresses
Primary practice location
26 Wallenberg Cir
Airmont, NY 10952-2800
Mailing address
33 Park Ave
Airmont, NY 10952
Phone (845) 596-7040
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
| License | State | Type | Specialty |
|---|---|---|---|
| 006891-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473897600000",
"number": "1063865376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 PARK AVE",
"city": "AIRMONT",
"state": "NY",
"postal_code": "10952",
"telephone_number": "845-596-7040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 WALLENBERG CIR",
"city": "AIRMONT",
"state": "NY",
"postal_code": "109522800",
"telephone_number": "845-596-7040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDEREICH",
"first_name": "CELINE",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-21",
"last_updated": "2016-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "006891-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Airmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.