Individual provider Active NPI

John Genardo, LCMHC

  • Mental Health Counselor
  • Oneonta, NY
National Provider Identifier
1568974673
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010193 Issued in NY
Practice address
395 Main St Ste 1
Oneonta, NY 13820-1955
Phone
(160) 728-7005
NPI assigned
Oct 30, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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 010193 NY Primary

Addresses

Primary practice location

395 Main St Ste 1
Oneonta, NY 13820-1955

Mailing address

395 Main St Ste 1
Oneonta, NY 13820-1955
Phone (607) 287-0058

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
010193NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Genardo Mental Health Counseling P.C. Counselor CurrentSince Aug 1, 2022 Accepting new patients
Shine Medical PC Past Accepting new patients

Locations

395 Main St
Ste 1
Oneonta, NY 13820
Phone (607) 287-0058

Organizations & group practices 2

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": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1568974673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 MAIN ST STE 1",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138201955",
            "telephone_number": "607-287-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 MAIN ST STE 1",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138201955",
            "telephone_number": "160-728-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENARDO",
        "first_name": "JOHN",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-30",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.