Active NPI
Charlee Degeorge
- Counselor
- Kingston, NY
National Provider Identifier
1447724356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 139 Cornell St
Kingston, NY 12401-3633 - Phone
- (845) 338-1234
- NPI assigned
- Jan 14, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
139 Cornell St
Kingston, NY 12401-3633
Mailing address
55 Nevis Rd
Tivoli, NY 12583-5010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240318003133 | NY | Practitioner - Mental Health Counselor | 2567809239 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Rockaway Neuropsychology, PC | Current | Accepting new patients | |
| Hudson Valley Health Specialties, Inc | Past | Accepting new patients | |
| Nysarc Inc. Ulster, Greene, Putnam Counties Chapter | Past | Accepting new patients |
Locations
100 Merrick Rd
Ste 510
Rockville Ctr, NY 11570
Phone (516) 341-6215
100 Merrick Rd
Ofc 510E
Rockville Ctr, NY 11570
Organizations & group practices 3
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.
-
- Clinic/Center
- Kingston, NY
- NPI 1184703308
-
- Developmental Disabilities Clinic/Center
- Kingston, NY
- NPI 1164467007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547424000000",
"number": "1447724356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 NEVIS RD",
"city": "TIVOLI",
"state": "NY",
"postal_code": "125835010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 CORNELL ST",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124013633",
"telephone_number": "845-338-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGEORGE",
"first_name": "CHARLEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-14",
"last_updated": "2019-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.