Active NPI
Genell Marie Kianes, LMHC
- Mental Health Counselor
- Staten Island, NY
National Provider Identifier
1194316323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 003911-1
- Practice address
- 1390 Richmond Hill Road
Staten Island, NY 10312 - Phone
- (718) 727-3313
- Fax
- (718) 727-3317
- NPI assigned
- Jan 31, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 003911-1 | NY | Primary |
Addresses
Primary practice location
1390 Richmond Hill Road
Staten Island, NY 10312
Mailing address
38 Bunnell CT
Staten Island, NY 10312
Phone (347) 683-8763
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
| License | State | Type | Specialty |
|---|---|---|---|
| 003911-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612051200000",
"number": "1194316323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 BUNNELL CT",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10312",
"telephone_number": "347-683-8763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 RICHMOND HILL ROAD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10312",
"telephone_number": "718-727-3313",
"fax_number": "718-727-3317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIANES",
"first_name": "GENELL",
"middle_name": "MARIE",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-31",
"last_updated": "2021-01-31",
"certification_date": "2021-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "003911-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.