NPIMap

Organization Active NPI

Kim Raffaelli Mental Health Counseling, PLLC

  • Mental Health Counselor
  • Lagrangeville, NY
National Provider Identifier
1609669563
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KIM RAFFAELLI MENTAL HEALTH COUNSELING, PLLC
Practice address
1133 Route 55 Ste F
Lagrangeville, NY 12540-5057
Phone
(845) 682-3677
Fax
(845) 748-7016
NPI assigned
May 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Authorized official

Name
Mrs. Kimberly Raffaelli, LMHCNPI 1083326466
Title
Owner / Psychotherapist
Phone
(845) 682-3677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1133 Route 55 Ste F
Lagrangeville, NY 12540-5057

Mailing address

1133 Route 55 Ste F
Lagrangeville, NY 12540-5057
Phone (845) 682-3677

Other names 1

  • Legacy Mental Health Counseling Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1609669563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 ROUTE 55 STE F",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405057",
            "telephone_number": "845-682-3677",
            "fax_number": "845-748-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 ROUTE 55 STE F",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405057",
            "telephone_number": "845-682-3677",
            "fax_number": "845-748-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM RAFFAELLI MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "RAFFAELLI",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER / PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "845-682-3677",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Mental Health Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lagrangeville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.