Active NPI
Jennifer J Corona, LMHC, CASAC
- Mental Health Counselor
- Schenectady, NY
National Provider Identifier
1093452385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 012005
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 32411 | NY | |
| Mental Health Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012005 | Other | NY | LICENSED MENTAL HEALTH COUNSELOR |
| 32411 | Other | NY | CREDENTIALED ALCOHOL AND SUBSTANCE ABUSE COUNSELOR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 32411 | NY | MD | Addiction (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.