Individual provider Active NPI

Casey L Demunn, LMHC, MS

  • Mental Health Counselor
  • Oswego, NY
National Provider Identifier
1235872730
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
012312 Issued in NY
Practice address
22 W Oneida St Ste 1
Oswego, NY 13126-2670
Phone
(315) 596-9965
NPI assigned
Apr 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 012312 NY Primary

Addresses

Primary practice location

22 W Oneida St Ste 1
Oswego, NY 13126-2670

Mailing address

22 W Oneida St Ste 1
Oswego, NY 13126-2670
Phone (315) 596-9965

Other practice location 1

188 S 3rd St
Fulton, NY 13069-1801
Phone (315) 207-5435

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
Master of Science

State licenses

LicenseStateTypeSpecialty
012312NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1235872730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W ONEIDA ST STE 1",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262670",
            "telephone_number": "315-596-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W ONEIDA ST STE 1",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262670",
            "telephone_number": "315-596-9965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "188 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "NY",
            "postal_code": "130691801",
            "country_code": "US",
            "telephone_number": "315-207-5435",
            "fax_number": "315-410-5544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMUNN",
        "first_name": "CASEY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LMHC, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.