Individual provider Active NPI

Jennifer J Corona, LMHC, CASAC

  • Mental Health Counselor
  • Schenectady, NY
National Provider Identifier
1093452385
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
012005 Issued in NY
Practice address
205 William Streeet
Schenectady, NY 12303
Phone
(626) 416-0912
NPI assigned
May 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 32411 NY
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 012005 NY Primary

Addresses

Primary practice location

205 William Streeet
Schenectady, NY 12303

Mailing address

205 William Streeet
Schenectady, NY 12303
Phone (518) 527-6733

Other identifiers 2

IdentifierTypeStateIssuer
012005OtherNYLICENSED MENTAL HEALTH COUNSELOR
32411OtherNYCREDENTIALED ALCOHOL AND SUBSTANCE ABUSE COUNSELOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL coronajennifer20@gmail.com Direct

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
32411NYMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1093452385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WILLIAM STREEET",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "12303",
            "telephone_number": "518-527-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WILLIAM STREEET",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "12303",
            "telephone_number": "626-416-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONA",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "credential": "LMHC, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "32411",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MENTAL HEALTH COUNSELOR",
            "identifier": "012005",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CREDENTIALED ALCOHOL AND SUBSTANCE ABUSE COUNSELOR",
            "identifier": "32411",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "coronajennifer20@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Microsoft file descriptions and Notepad",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "205 William Streeet",
            "city": "Schenectady",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.