Individual provider Active NPI

Kiranjit Kaur Longaker, LMHC

  • Mental Health Counselor
  • Ithaca, NY
National Provider Identifier
1255748893
Registry record updated May 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
006416 Issued in NY
Practice address
401 E State St
Suite 400
Ithaca, NY 14850-4400
Phone
(607) 592-6539
Fax
(607) 697-2400
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2016

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 006416 NY Primary

Addresses

Primary practice location

401 E State St
Suite 400
Ithaca, NY 14850-4400

Mailing address

401 E State St
Suite 400
Ithaca, NY 14850-4400
Phone (607) 592-6539

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

LicenseStateTypeSpecialty
006416NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kiranjit K. Longaker, Mental Health Counselor, PLLC Current Accepting new patients

Locations

401 E State St
Ste 400
Ithaca, NY 14850
Phone (607) 351-1313

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464566400000",
    "number": "1255748893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E STATE ST",
            "address_2": "SUITE 400",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504400",
            "telephone_number": "607-592-6539",
            "fax_number": "607-697-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E STATE ST",
            "address_2": "SUITE 400",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504400",
            "telephone_number": "607-592-6539",
            "fax_number": "607-697-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGAKER",
        "first_name": "KIRANJIT",
        "middle_name": "KAUR",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2016-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2016; 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.