Connected Counseling of Cny

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

000154 Issued in NY

Legal business name

CONNECTED COUNSELING OF CNY

Practice address

5700 W Genesee St
Suite 124
Camillus, NY 13031-3200

Phone

(315) 407-4235

NPI assigned

Jul 23, 2015

Last updated

Jul 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracey C Reichert Schimpff, MA, LMFT

Title

Owner/ Therapist

Phone

(315) 391-8501

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1184009805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7232 MANLIUS CENTER RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579539",
            "telephone_number": "315-391-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 W GENESEE ST",
            "address_2": "SUITE 124",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130313200",
            "telephone_number": "315-407-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED COUNSELING OF CNY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "REICHERT SCHIMPFF",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "315-391-8501",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "000154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Steven M Connolly, MD
• Paige M Copeland, LMSW
• Kurt Coppola, RPH
• Daniel Cornman
• Costco Wholesale Corporation (Costco Hearing Aid #1176)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Camillus, NY
• Providers in Camillus, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.