Organization Active NPI

Personal Journeys Counseling

  • Mental Health Counselor
  • Canton, NY
National Provider Identifier
1619226362
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PERSONAL JOURNEYS COUNSELING
Practice address
424 Judson Street Rd
Personal Journeys Counseling
Canton, NY 13617-3947
Phone
(315) 854-0441
NPI assigned
Sep 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Authorized official

Name
Mrs. Robin Eve Gagliardi, LMHC
Title
Counselor
Phone
(315) 854-0441

Specialties & licenses 1

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

Addresses

Primary practice location

424 Judson Street Rd
Personal Journeys Counseling
Canton, NY 13617-3947

Mailing address

PO Box 255
424 Judson Street Road
Canton, NY 13617-0255
Phone (315) 854-0441

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1619226362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255",
            "address_2": "424 JUDSON STREET ROAD",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136170255",
            "telephone_number": "315-854-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 JUDSON STREET RD",
            "address_2": "PERSONAL JOURNEYS COUNSELING",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136173947",
            "telephone_number": "315-854-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL JOURNEYS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "GAGLIARDI",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "EVE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "315-854-0441",
        "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": []
}

Other providers in Canton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.