Individual provider Active NPI

Kayla Lenora Corpin, LMHC

  • Mental Health Counselor
  • Rome, NY
National Provider Identifier
1578158341
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
011097 Issued in NY
Practice address
199 W Dominick St Ste 4
Rome, NY 13440-5878
Phone
(315) 272-2748
NPI assigned
Mar 4, 2021
Last updated
Mar 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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 011097 NY Primary

Addresses

Primary practice location

199 W Dominick St Ste 4
Rome, NY 13440-5878

Mailing address

5229 Swamp Rd
Morrisville, NY 13408-1137
Phone (315) 825-5320

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240109003172 NY Practitioner - Mental Health Counselor 9537510029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Neighborhood Center, IncGroup PAC ID 3678619897, 10 clinicians

Practice addresses (Care Compare)

195 -199 W Dominick St
Rome, NY 13440-5855
Phone 31527226002611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011097NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Neighborhood Center, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

624 Elizabeth St
Utica, NY 13501
Phone (315) 272-2600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1578158341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5229 SWAMP RD",
            "city": "MORRISVILLE",
            "state": "NY",
            "postal_code": "134081137",
            "telephone_number": "315-825-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 W DOMINICK ST STE 4",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405878",
            "telephone_number": "315-272-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORPIN",
        "first_name": "KAYLA",
        "middle_name": "LENORA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

Verify at the official NPI Registry.