Gerasimos Demosthenis Klonis, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CTB-2023-0800 Issued in NM

Practice address

100 6TH St S
Socorro, NM 87801-4139

Phone

(505) 865-4140

NPI assigned

Sep 30, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Self-Discovery Recovery LLC

  • Professional Counselor
  • Los Lunas, NM
  • NPI 1497537658

  Mental Health

  NPD Authorized official
• Full Circle Recovery

  • Community/Behavioral Health Agency
  • Los Lunas, NM
  • NPI 1427535251
  NPD

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705190400000",
    "number": "1548877855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3056 FRONTIER AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062037",
            "telephone_number": "505-865-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 6TH ST S",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878014139",
            "telephone_number": "505-865-4140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1052 Main St NE",
            "address_purpose": "LOCATION",
            "city": "Los Lunas",
            "state": "NM",
            "postal_code": "870317436",
            "country_code": "US",
            "telephone_number": "505-865-4140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2980 Clear Sky St SW",
            "address_purpose": "LOCATION",
            "city": "Los Lunas",
            "state": "NM",
            "postal_code": "870316453",
            "country_code": "US",
            "telephone_number": "505-603-8633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLONIS",
        "first_name": "GERASIMOS",
        "middle_name": "DEMOSTHENIS",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-30",
        "last_updated": "2024-01-14",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2023-0800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale Kemper, RPH
• Kelly Kemper, RPH
• Farinaz Khan, MD
• Marlys I Kiehne, MA., CCC-SLP
• Beth Kirkhart, MD
• Lorri Knight, LMHC
• Christine Lam
• Daniel Lanari, PT
• Anne Caitlin Lear, MS. LMFT
• Learning Path

• Professional Counselor in Socorro, NM
• Providers in Socorro, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2024; 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.