Tara McKenna Gaffney, LMHC-P
Individual provider Active NPI Mental Health Counselor · East Rochester, NY
NPI 1083453328 · NPPES record last updated May 24, 2024
Key facts
- NPI
- 1083453328
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- P124563 (NY)
- Practice address
- 222 Woodbine Ave
East Rochester, NY 14445-1860 - Phone
- (585) 641-3103
- NPI assigned
- May 24, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| P124563 | NY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P124563 | NY | Yes |
Addresses
Primary practice location
222 Woodbine Ave
East Rochester, NY 14445-1860
Mailing address
37 Granite Dr
Penfield, NY 14526-2851
Phone (585) 727-1088
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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 May 24, 2024. 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.