Gina Bambinelli, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11298 Issued in NY

Practice address

417 E German St
Herkimer, NY 13350-1028

Phone

(845) 418-2417

NPI assigned

Apr 7, 2021

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1629657408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 E GERMAN ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E GERMAN ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501028",
            "telephone_number": "845-418-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMBINELLI",
        "first_name": "GINA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "11298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Austin, FNP-BC
• Donald Roy Bach, R.PH.
• Isabella Rose Bailey
• Mary K Baker, LCSW
• Megan Marie Ball, OTR/L
• Susan Banks
• Crystal Lyn Bastien, PA-C
• Nathanial J Beach, PT
• Carol H Beaudin, LMSW
• Robert S Bellassai, RN

• All providers in Herkimer, NY
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.