Individual provider Active NPI

Stephen Ronda, LMHC, CASAC-M

  • Mental Health Counselor
  • Poughkeepsie, NY
National Provider Identifier
1689111205
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007590 Issued in NY
Practice address
19 N Randolph Ave
Poughkeepsie, NY 12603-3311
Phone
(845) 320-3600
Fax
(845) 320-3700
NPI assigned
Jan 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 34944 NY
Professional Counselor 101YP2500X 37PC00957800 NJ
Mental Health Counselor 101YM0800X 007590 NY Primary

Addresses

Primary practice location

19 N Randolph Ave
Poughkeepsie, NY 12603-3311

Mailing address

19 N Randolph Ave
Poughkeepsie, NY 12603-3311
Phone (845) 320-3600

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
I20240110001703 NY Practitioner - Mental Health Counselor 9537510904 Practice locations: Poughkeepsie, NY

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Mercy College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

19 N Randolph Ave
Poughkeepsie, NY 12603-3311
Phone (845) 320-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34944NYMDAddiction (Substance Use Disorder) Counselor
37PC00957800NJMDProfessional Counselor
007590NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Care for the Homeless PastSince May 12, 2024 Accepting new patients
Care for the Homeless Past Accepting new patients

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1689111205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 N RANDOLPH AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126033311",
            "telephone_number": "845-320-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 N RANDOLPH AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126033311",
            "telephone_number": "845-320-3600",
            "fax_number": "845-320-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONDA",
        "first_name": "STEPHEN",
        "credential": "LMHC, CASAC-M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-20",
        "last_updated": "2023-06-09",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "34944",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00957800",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.