Active NPI
Jessica Whitwood, LCAT ATR-BC
- Art Therapist
- Auburn, NY
National Provider Identifier
1477019826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 000373
- Practice address
- 101 Hamilton Ave
Auburn, NY 13021-5028 - Phone
- (315) 253-5383
- Fax
- (315) 253-7278
- NPI assigned
- Feb 11, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Art Therapist | 221700000X | 000373 | NY | Primary |
Addresses
Primary practice location
101 Hamilton Ave
Auburn, NY 13021-5028
Mailing address
101 Hamilton Ave
Auburn, NY 13021-5028
Phone (315) 253-5383
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 |
|---|---|---|---|
| 000373 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1477019826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 HAMILTON AVE",
"city": "AUBURN",
"state": "NY",
"postal_code": "130215028",
"telephone_number": "315-253-5383",
"fax_number": "315-253-7278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HAMILTON AVE",
"city": "AUBURN",
"state": "NY",
"postal_code": "130215028",
"telephone_number": "315-253-5383",
"fax_number": "315-253-7278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITWOOD",
"first_name": "JESSICA",
"name_prefix": "Mrs.",
"credential": "LCAT ATR-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-11",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "000373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.