NPIMap

Organization Active NPI

Kaylas Place

  • Mental Health Counselor
  • Monticello, NY
National Provider Identifier
1144738816
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007808
Legal business name
KAYLAS PLACE
Practice address
41 Sheldon Dr
Monticello, NY 12701-4122
Phone
(845) 513-5754
Fax
(914) 292-3422
NPI assigned
Jan 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Renee Green, M.S., LHMCNPI 1164783155
Title
Director
Phone
(845) 513-5754

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 007808 Primary

Addresses

Primary practice location

41 Sheldon Dr
Monticello, NY 12701-4122

Mailing address

PO Box 699
Monticello, NY 12701-0699
Phone (845) 513-5754

National Provider Directory

National Provider Directory
Tax ID family
Kaylas Place2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1144738816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127010699",
            "telephone_number": "845-513-5754",
            "fax_number": "914-292-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 SHELDON DR",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127014122",
            "telephone_number": "845-513-5754",
            "fax_number": "914-292-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYLAS PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "845-513-5754",
        "authorized_official_credential": "M.S., LHMC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "007808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.