Trillium Health, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

TRILLIUM HEALTH, INC

Practice address

170 Science Pkwy
Rochester, NY 14620-4251

Phone

(585) 465-2015

NPI assigned

May 17, 2019

Organization subpart

No

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

Authorized official

Name

Jason Barnecut-Kearns

Title

President/Ceo

Phone

(585) 210-4138

Specialties & licenses 3

Addresses

Other names 1

• Trillium Health Mobile Access Clinic Other name

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Federally qualified health center certification: CCN 571198

Legal name

TRILLIUM HEALTH INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Apr 10, 2020

Last certification

Apr 10, 2020

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 11, 2014 in NY

Enrollment address

170 Science Pkwy
Rochester, NY 14620-4251

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Trillium Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Rochester, NY
  • NPI 1861496358

  O20040225000722

  Same enrollment
• Trillium Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rochester, NY
  • NPI 1285290593

  O20040225000722, O20200305000021

  Same enrollment

Locations

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Ann Beneski-Barlow, D.O.

  • Psychiatry Physician
  • Rochester, NY
  • NPI 1699093161
  NPD
• Samantha Mariah Bennett, FNP

  • Family Nurse Practitioner
  • Rochester, NY
  • NPI 1134968720
  NPD
• Ahmad Bilal, MD

  • Psychiatry Physician
  • Canandaigua, NY
  • NPI 1487747424
  NPD
• Sarah Jane Bolduc, M.D.

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1427176478
  NPD
• Joan Sirelle Brenner, CNM

  • Advanced Practice Midwife
  • Rochester, NY
  • NPI 1952366098
  NPD
• Laureen Anne Burke, M.D.

  • Obstetrics & Gynecology Physician
  • Rochester, NY
  • NPI 1154383602
  NPD
• Mary E Ciranni-Callon, D.O.

  • Obstetrics & Gynecology Physician
  • Rochester, NY
  • NPI 1316903164
  NPD
• Kelsey L Conn, RD

  • Registered Dietitian
  • Rochester, NY
  • NPI 1104230440
  NPD
• Julia Cooper, MD

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1649700477
  NPD
• Patrick J Costa, MD, PHD

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1891718862
  NPD
• Charlotte Curran, NP

  • Family Nurse Practitioner
  • Rochester, NY
  • NPI 1962177097
  NPD
• Christopher John Davis, M.D., M.P.H., M.B.A

  • Addiction Medicine (Internal Medicine) Physician
  • Rochester, NY
  • NPI 1568484780
  NPD

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1265098941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 MONROE AVE STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146073632",
            "telephone_number": "585-465-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 SCIENCE PKWY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204251",
            "telephone_number": "585-465-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "BARNECUT-KEARNS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "585-210-4138"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trillium Health Mobile Access Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Veronica Trice-Young, LPN
• Albert J Tricomi, MD
• Francesca Triest
• Cuong N. Trieu, O.D.
• Lynne Battaglia Triggs, MPAS,RPA-C
• Trillium Health, Inc
• Trillium Health, Inc
• Trillium Health, Inc.
• Trillium Health, Inc.
• Trillium Health, Inc.

• All providers in Rochester, NY
• Federally Qualified Health Center (FQHC) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.