Individual provider Active NPI

Kristy Lynne Fils-Aime, M.A., MHC, LAC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1720496334
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P93644 Issued in NY
Practice address
41 Central Park W
Suite 1H
New York, NY 10023-6734
Phone
(201) 956-6363
Fax
(201) 956-6026
NPI assigned
Jul 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37AC00215100 NJ
Mental Health Counselor 101YM0800X P93644 NY Primary

Addresses

Primary practice location

41 Central Park W
Suite 1H
New York, NY 10023-6734

Mailing address

22-08 Route 208
Suite 16
Fair Lawn, NJ 07410-2609
Phone (201) 956-6363

Other names 1

  • Miss Kristy Lynne Woods Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37AC00215100NJMDCounselor
P93644NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellsprings Counseling Center, LLC PastSince Jan 7, 2024 Accepting new patients

Organizations & group practices 1

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": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1720496334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22-08 ROUTE 208",
            "address_2": "SUITE 16",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102609",
            "telephone_number": "201-956-6363",
            "fax_number": "201-956-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CENTRAL PARK W",
            "address_2": "SUITE 1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236734",
            "telephone_number": "201-956-6363",
            "fax_number": "201-956-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILS-AIME",
        "first_name": "KRISTY",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "M.A., MHC, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00215100",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P93644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "WOODS",
            "middle_name": "LYNNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.