Active NPI
Kenneth Edward Wosneski, LMHC
- Mental Health Counselor
- Baldwinsville, NY
National Provider Identifier
1407094949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 002940-1
- Practice address
- 3070 Rte 31 Belgium Road
Upstate Psychiatric Care
Baldwinsville, NY 13027 - Phone
- (315) 638-0979
- NPI assigned
- Jan 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 002940-1 | NY | Primary |
Addresses
Primary practice location
3070 Rte 31 Belgium Road
Upstate Psychiatric Care
Baldwinsville, NY 13027
Mailing address
8380 Redwing Dr
Liverpool, NY 13090-1019
Phone (315) 652-6233
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
| License | State | Type | Specialty |
|---|---|---|---|
| 002940-1 | NY | MD | Local Education Agency (LEA) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232496000000",
"number": "1407094949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8380 REDWING DR",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130901019",
"telephone_number": "315-652-6233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3070 RTE 31 BELGIUM ROAD",
"address_2": "UPSTATE PSYCHIATRIC CARE",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "13027",
"telephone_number": "315-638-0979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOSNESKI",
"first_name": "KENNETH",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-21",
"last_updated": "2009-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "002940-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baldwinsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.