Individual provider Active NPI

Stephanie A Mineo, MHC

  • Mental Health Counselor
  • Newburgh, NY
National Provider Identifier
1104675727
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P128010 Issued in NY
Practice address
633 Gidney Ave Ste 6
Newburgh, NY 12550-2805
Phone
(845) 569-2900
NPI assigned
May 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P128010 NY Primary

Addresses

Primary practice location

633 Gidney Ave Ste 6
Newburgh, NY 12550-2805

Mailing address

16 Chelsea Ridge Dr Apt F
Wappingers Falls, NY 12590-5632
Phone (845) 764-1230

Other practice location 1

243 Main St Ste 280
New Paltz, NY 12561-1350
Phone (845) 706-0229

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
P128010NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wendy Keller, LCSW, LLC CurrentSince May 19, 2024 Accepting new patients
It'S a Girl Thing Counseling Amy Frisch LCSW, PLLC Past Accepting new patients

Locations

633 Gidney Ave
Ste 6
Newburgh, NY 12550
Phone (845) 242-8375

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1104675727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CHELSEA RIDGE DR APT F",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125905632",
            "telephone_number": "845-764-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 GIDNEY AVE STE 6",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502805",
            "telephone_number": "845-569-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 Main St Ste 280",
            "address_purpose": "LOCATION",
            "city": "New Paltz",
            "state": "NY",
            "postal_code": "125611350",
            "country_code": "US",
            "telephone_number": "845-706-0229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINEO",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "credential": "MHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P128010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.