Active NPI
Anita Lynne Giovannucci, LMHC
- Mental Health Counselor
- Clifton Park, NY
National Provider Identifier
1205856416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 000073
- Practice address
- 521 Vischer Ferry Rd
Clifton Park, NY 12065-3668 - Phone
- (518) 878-5932
- Fax
- (518) 383-7143
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 000073 | NY | Primary |
| Mental Health Counselor | 101YM0800X | 5013 | MA | |
| Mental Health Counselor | 101YM0800X | E0003637 | OH |
Addresses
Primary practice location
521 Vischer Ferry Rd
Clifton Park, NY 12065-3668
Mailing address
118 Clamsteam Rd
3 D
Clifton Park, NY 12065-7806
Phone (518) 383-7143
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 |
|---|---|---|---|
| E0003637 | OH | MD | Mental Health Counselor |
| 000073 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205856416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 CLAMSTEAM RD",
"address_2": "3 D",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120657806",
"telephone_number": "518-383-7143",
"fax_number": "518-383-7143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 VISCHER FERRY RD",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653668",
"telephone_number": "518-878-5932",
"fax_number": "518-383-7143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIOVANNUCCI",
"first_name": "ANITA",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "000073",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "5013",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E0003637",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.