Kristin M Neagle, L.M.H.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001829-1 Issued in NY

Practice address

420 East Genesee St
Syracuse, NY 13202-2129

Phone

(315) 218-0855

Fax

(315) 478-3118

NPI assigned

Mar 11, 2020

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

• Mrs. Kristin M Lilly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1275168155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 EAST GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022129",
            "telephone_number": "315-218-0855",
            "fax_number": "315-478-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 EAST GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022129",
            "telephone_number": "315-218-0855",
            "fax_number": "315-478-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAGLE",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "L.M.H.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001829-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "LILLY",
            "middle_name": "M",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Isabella Maria Naylor, PA-C
• Ahmad Nazem, MD
• Akifa Nazim, MD
• Jane Nderi Johnson
• Jennifer Anne Nead, MD
• Elizabeth Neal, LMSW
• Jasmine Shanel Neal
• Justin Neal, PHARM D
• Grace Reilly Neale
• Eileen Nealon

• Mental Health Counselor in Syracuse, NY
• Providers in Syracuse, 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 Mar 11, 2020; 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.