Active NPI
Jennifer Carol Whitley, LCAT
- Mental Health Counselor
- Cold Spring, NY
National Provider Identifier
1063955573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 001777-1
- Practice address
- 26 Main St
Cold Spring, NY 10516-3013 - Phone
- (845) 265-1085
- Fax
- (845) 739-1096
- NPI assigned
- Dec 1, 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 | 001777-1 | NY | Primary |
Addresses
Primary practice location
26 Main St
Cold Spring, NY 10516-3013
Mailing address
26 Main St
Cold Spring, NY 10516-3013
Phone (845) 265-1085
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 |
|---|---|---|---|
| 001777-1 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dancing Dialogue Lcat, LMHC, PLLC | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Cold Spring, NY
- NPI 1639571045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480550400000",
"number": "1063955573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 MAIN ST",
"city": "COLD SPRING",
"state": "NY",
"postal_code": "105163013",
"telephone_number": "845-265-1085",
"fax_number": "845-739-1096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 MAIN ST",
"city": "COLD SPRING",
"state": "NY",
"postal_code": "105163013",
"telephone_number": "845-265-1085",
"fax_number": "845-739-1096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITLEY",
"first_name": "JENNIFER",
"middle_name": "CAROL",
"credential": "LCAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-01",
"last_updated": "2016-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "001777-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cold Spring, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.