Active NPI
Life'S Canvas
- Professional Counselor
- Canandaigua, NY
National Provider Identifier
1184048662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 005308
- Legal business name
- LIFE'S CANVAS
- Practice address
- 514 S Main St
Canandaigua, NY 14424-2246 - Phone
- (585) 857-6122
- NPI assigned
- Feb 5, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Raymond Joseph Barrett, LMHC
- Title
- Owner
- Phone
- (585) 857-6122
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 005308 | NY | Primary |
Addresses
Primary practice location
514 S Main St
Canandaigua, NY 14424-2246
Mailing address
261 S Pearl St
Canandaigua, NY 14424-1749
Phone (585) 857-6122
National Provider Directory
National Provider DirectoryLocations
514 S Main St
Canandaigua, NY 14424
Phone (315) 789-2613
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391558400000",
"number": "1184048662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 S PEARL ST",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144241749",
"telephone_number": "585-857-6122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 S MAIN ST",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144242246",
"telephone_number": "585-857-6122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE'S CANVAS",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-05",
"last_updated": "2014-02-05",
"status": "A",
"authorized_official_last_name": "BARRETT",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "585-857-6122",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "NY",
"license": "005308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canandaigua, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.