Marcelene Kubacki Redding, ED.S,NCC, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

441 East Ave Ste 3
Rochester, NY 14607-1932

Phone

(585) 461-0110

Fax

(585) 461-9658

NPI assigned

Oct 25, 2017

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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

• Jewish Family Service of Rochester Inc

  • Adult Development & Aging Psychologist
  • Rochester, NY
  • NPI 1942429527

  Mental Health

  NPD

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1659883155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 YOUNGS AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146063841",
            "telephone_number": "901-486-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 EAST AVE STE 3",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071932",
            "telephone_number": "585-461-0110",
            "fax_number": "585-461-9658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1916 University Ave",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386554114",
            "country_code": "US",
            "telephone_number": "662-281-1306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDING",
        "first_name": "MARCELENE",
        "middle_name": "KUBACKI",
        "credential": "ED.S,NCC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Red Shield Transportation
• Evelyn Joan Reda, RPH
• Irene Joanne Redband, NP
• Shanyiaha Redd
• Cynthia R. Reddeck, M.D.
• Erin T Reddinger, LMSW
• Jonathan Redditt, D.M.D
• Muralidhar T Reddy, MD
• Pooja Salguti Reddy, M.D.
• Prakash Patlolla Reddy, M.D.,

• Mental Health Counselor in Rochester, NY
• Providers in Rochester, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.