Individual provider Active NPI

Christopher Konitz, LMHC, RN

  • Registered Nurse
  • Middletown, NY
National Provider Identifier
1174785208
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
6282531 Issued in NY
Practice address
18 Kensington MNR
Middletown, NY 10941-1800
Phone
(845) 699-8110
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 000386 NY
Registered Nurse 163W00000X 6282531 NY Primary

Addresses

Primary practice location

18 Kensington MNR
Middletown, NY 10941-1800

Mailing address

39 Kensington MNR
Middletown, NY 10941-1800
Phone (845) 699-8110

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
000386NYMDMental Health Counselor
6282531NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1174785208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 KENSINGTON MNR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109411800",
            "telephone_number": "845-699-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 KENSINGTON MNR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109411800",
            "telephone_number": "845-699-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONITZ",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "LMHC, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000386",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "6282531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.