Individual provider Active NPI

Renee Katherine Larock-Gary, LMHC

  • Mental Health Counselor
  • Ticonderoga, NY
National Provider Identifier
1700360732
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
008982 Issued in NY
Practice address
5 Morehous Dr
Ticonderoga, NY 12883-1110
Phone
(518) 586-4276
Fax
(844) 283-6959
NPI assigned
Sep 15, 2018
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 008982 NY
Mental Health Counselor 101YM0800X 008982 NY Primary

Addresses

Primary practice location

5 Morehous Dr
Ticonderoga, NY 12883-1110

Mailing address

5 Morehous Dr
Ticonderoga, NY 12883-1110
Phone (518) 480-7208

Other names 1

  • Renee Katherine Swinton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, MA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240115001473 NY Practitioner - Mental Health Counselor 6507218682 Reassigns benefits to 2 organizations
I20240418000166 NJ Practitioner - Mental Health Counselor 6507218682 Reassigns benefits to 2 organizations
I20260224003480 MA Practitioner - Mental Health Counselor 6507218682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCCD Psychiatry Services PLLCGroup PAC ID 4082049036, 206 clinicians

Practice addresses (Care Compare)

109 W 27TH St
5S
New York, NY 10001-6208
Phone (833) 351-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD New Jersey Psychiatry Services LLC CurrentSince Mar 20, 2024 Accepting new patients
MCCD Psychiatry Services PLLC CurrentSince Jan 1, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Jan 20, 2026 Accepting new patients
Grow Healthcare Group of New Jersey PC Mental Health CurrentSince Jan 28, 2026 Accepting new patients
Natural Dystopia PastSince Sep 4, 2022 Accepting new patients

Locations

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

525 Route 73 N
Ste 117
Marlton, NJ 08053
Phone (609) 200-0444

109 W 27th St
New York, NY 10001
Phone (332) 206-6054

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1536969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1700360732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MOREHOUS DR",
            "city": "TICONDEROGA",
            "state": "NY",
            "postal_code": "128831110",
            "telephone_number": "518-480-7208",
            "fax_number": "844-283-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MOREHOUS DR",
            "city": "TICONDEROGA",
            "state": "NY",
            "postal_code": "128831110",
            "telephone_number": "518-586-4276",
            "fax_number": "844-283-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCK-GARY",
        "first_name": "RENEE",
        "middle_name": "KATHERINE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-15",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "008982",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "SWINTON",
            "middle_name": "KATHERINE",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ticonderoga, NY

Sources for this page

Verify at the official NPI Registry.