Individual provider Active NPI

Kristi Antionette Lucchesi

  • Mental Health Counselor
  • Staten Island, NY
National Provider Identifier
1396395422
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009461 Issued in NY
Practice address
962 Manor Rd
Staten Island, NY 10314-7041
Phone
(718) 982-5944
NPI assigned
Sep 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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 009461 NY Primary

Addresses

Primary practice location

962 Manor Rd
Staten Island, NY 10314-7041

Mailing address

1007 Annadale Rd
Staten Island, NY 10312-4034
Phone (718) 702-8951

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
009461NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Behavioral Sciences, LCSW, PC Past Accepting new patients

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": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1396395422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 ANNADALE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103124034",
            "telephone_number": "718-702-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 MANOR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147041",
            "telephone_number": "718-982-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCCHESI",
        "first_name": "KRISTI",
        "middle_name": "ANTIONETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.