Active NPI
Jo Ann Cleghorne, GUIDANCE COUNSELOR
- School Counselor
- Floral Park, NY
National Provider Identifier
1104112275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 1133855
- Practice address
- 9424 239TH St
Floral Park, NY 11001-3823 - Phone
- (646) 280-8418
- NPI assigned
- Jun 27, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 1133855 | NY | Primary |
Addresses
Primary practice location
9424 239TH St
Floral Park, NY 11001-3823
Mailing address
9424 239TH St
Floral Park, NY 11001-3823
Phone (646) 280-8418
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 |
|---|---|---|---|
| 1133855 | NY | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309132800000",
"number": "1104112275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9424 239TH ST",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110013823",
"telephone_number": "646-280-8418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9424 239TH ST",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110013823",
"telephone_number": "646-280-8418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEGHORNE",
"first_name": "JO ANN",
"credential": "GUIDANCE COUNSELOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-27",
"last_updated": "2011-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NY",
"license": "1133855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Floral Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.