Individual provider Active NPI

Renee Devuyst, LMHC

  • Mental Health Counselor
  • Newark, NY
National Provider Identifier
1144642786
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000640 Issued in NY
Practice address
407 E Union St
Newark, NY 14513-1609
Phone
(315) 331-2300
Fax
(315) 331-2301
NPI assigned
Jan 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 000640 NY Primary

Addresses

Primary practice location

407 E Union St
Newark, NY 14513-1609

Mailing address

407 E Union St
Newark, NY 14513-1609
Phone (315) 331-2300

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
000640NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of the Diocese of Rochester PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144642786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E UNION ST",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131609",
            "telephone_number": "315-331-2300",
            "fax_number": "315-331-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E UNION ST",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131609",
            "telephone_number": "315-331-2300",
            "fax_number": "315-331-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVUYST",
        "first_name": "RENEE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.