Individual provider Active NPI

Olivia Catherine Geary

  • Mental Health Counselor
  • Kenmore, NY
National Provider Identifier
1174303697
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P124196 Issued in NY
Practice address
1129 Kenmore Ave
Kenmore, NY 14217-2845
Phone
(716) 217-0010
NPI assigned
Oct 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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 P124196 NY Primary

Addresses

Primary practice location

1129 Kenmore Ave
Kenmore, NY 14217-2845

Mailing address

1129 Kenmore Ave
Kenmore, NY 14217-2845
Phone (716) 217-0010

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
P124196NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kind Mental Health Counselors, PLLC Mental Health CurrentSince Oct 1, 2023 Accepting new patients

Locations

775 Park Ave
Ste 255
Huntington, NY 11743
Phone (516) 355-6001

775 Park Ave
Ste 380
Huntington, NY 11743
Phone (516) 914-6043

1129 Kenmore Ave
Kenmore, NY 14217
Phone (716) 217-0010

60 School St
Unit 174
Orchard Park, NY 14127

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": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1174303697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 KENMORE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172845",
            "telephone_number": "716-217-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 KENMORE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172845",
            "telephone_number": "716-217-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEARY",
        "first_name": "OLIVIA",
        "middle_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P124196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.