Jennifer Lynn Agnitti

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P119877 Issued in NY

Practice address

274 N Goodman St Ste A300
Rochester, NY 14607-1171

Phone

(585) 206-7280

Fax

(585) 206-1006

NPI assigned

Jun 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Lynn Saul Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wide Waters Therapy Services LCSW PLLC

  • Clinical Social Worker
  • Rochester, NY
  • NPI 1215609524
  NPD

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1255024329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 N GOODMAN ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071154",
            "telephone_number": "585-206-7280",
            "fax_number": "585-206-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 N GOODMAN ST STE A300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071171",
            "telephone_number": "585-206-7280",
            "fax_number": "585-206-1006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146072926",
            "country_code": "US",
            "telephone_number": "585-206-1006",
            "fax_number": "585-206-1006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGNITTI",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P119877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SAUL",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Uma Aggarwal, M. D.
• Claudia Iyla Aghaie-Butler, MD
• Joanna Aghaie
• Dalia Agi Maluli, DDS
• Laurie Agnello, LMHC
• Susanne Agone, LMSW
• John Edward Agostinelli, D.D.S
• Theresa A Agostinelli, P.N.P.
• Diana Agostini-Vulaj, DO
• Tanupriya Agrawal

• Mental Health Counselor in Rochester, NY
• Providers in Rochester, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.