Individual provider Active NPI

Christopher Leon Somelofske, LMHC, CRC, CCM

  • Mental Health Counselor
  • Troy, NY
National Provider Identifier
1114280237
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000034-1 Issued in NY
Practice address
1801 6TH Ave
Northeast Health - CTS
Troy, NY 12180-3400
Phone
(518) 270-3049
NPI assigned
Jun 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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 000034-1 NY Primary

Addresses

Primary practice location

1801 6TH Ave
Northeast Health - CTS
Troy, NY 12180-3400

Mailing address

1801 6TH Ave
Northeast Health - CTS
Troy, NY 12180-3400
Phone (518) 270-3049

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
000034-1NYMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1114280237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 6TH AVE",
            "address_2": "NORTHEAST HEALTH - CTS",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803400",
            "telephone_number": "518-270-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 6TH AVE",
            "address_2": "NORTHEAST HEALTH - CTS",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803400",
            "telephone_number": "518-270-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMELOFSKE",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEON",
        "name_prefix": "Mr.",
        "credential": "LMHC, CRC, CCM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000034-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.