Individual provider Active NPI

Garth Steel Nanni, LPC

  • Professional Counselor
  • Pearl River, NY
National Provider Identifier
1124649207
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37AC00428500 Issued in NJ
Practice address
57 W Crooked Hill Rd
Pearl River, NY 10965-1157
Phone
(201) 696-1009
NPI assigned
Apr 30, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37AC00428500 NJ Primary

Addresses

Primary practice location

57 W Crooked Hill Rd
Pearl River, NY 10965-1157

Mailing address

57 W Crooked Hill Rd
Pearl River, NY 10965-1157
Phone (201) 696-1009

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
37AC00428500NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1124649207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W CROOKED HILL RD",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651157",
            "telephone_number": "201-696-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W CROOKED HILL RD",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651157",
            "telephone_number": "201-696-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANNI",
        "first_name": "GARTH",
        "middle_name": "STEEL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37AC00428500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.