Individual provider Active NPI

Michele Joy Kern

  • Mental Health Counselor
  • Wampsville, NY
National Provider Identifier
1154344331
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
003051-1 Issued in NY
Practice address
138 North Court St.
Wampsville, NY 13163
Phone
(315) 366-2327
Fax
(315) 366-2599
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 003051-1 NY Primary

Addresses

Primary practice location

138 North Court St.
Wampsville, NY 13163

Mailing address

5222 S Main St
Munnsville, NY 13409-4059
Phone (315) 495-5732

Other names 1

  • Michele Joy Kern-Zinkovitch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240109002431 NY Practitioner - Mental Health Counselor 8628429198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Neighborhood Center, IncGroup PAC ID 3678619897, 10 clinicians

Practice addresses (Care Compare)

628 Mary St
Utica, NY 13501-2419
Phone (315) 272-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003051-1NYMDAthletic Trainer
003051NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Neighborhood Center, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

624 Elizabeth St
Utica, NY 13501
Phone (315) 272-2600

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154344331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 S MAIN ST",
            "city": "MUNNSVILLE",
            "state": "NY",
            "postal_code": "134094059",
            "telephone_number": "315-495-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 NORTH COURT ST.",
            "city": "WAMPSVILLE",
            "state": "NY",
            "postal_code": "13163",
            "telephone_number": "315-366-2327",
            "fax_number": "315-366-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "MICHELE",
        "middle_name": "JOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "003051-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "KERN-ZINKOVITCH",
            "middle_name": "JOY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wampsville, NY

Sources for this page

Verify at the official NPI Registry.