Individual provider Active NPI

Laurie Agnello, LMHC

  • Mental Health Counselor
  • Rochester, NY
National Provider Identifier
1659662641
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
004178 Issued in NY
Practice address
835 W Main St
Rochester, NY 14611-2335
Phone
(585) 368-6550
Fax
(585) 368-6540
NPI assigned
Apr 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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 004178 NY Primary

Addresses

Primary practice location

835 W Main St
Rochester, NY 14611-2335

Mailing address

835 W Main St
Rochester, NY 14611-2335
Phone (585) 368-6550

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
I20240201000930 NY Practitioner - Mental Health Counselor 2567815905 Practice locations: Rochester, NY

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3380 Monroe Ave
Suite 219
Rochester, NY 14618-4726
Phone (585) 301-8227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004178NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1659662641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 W MAIN ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146112335",
            "telephone_number": "585-368-6550",
            "fax_number": "585-368-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 W MAIN ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146112335",
            "telephone_number": "585-368-6550",
            "fax_number": "585-368-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGNELLO",
        "first_name": "LAURIE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.