Individual provider Active NPI

Geri M Fanelli, LMHC, MA COMMUNITY &

  • Mental Health Counselor
  • Kingston, NY
National Provider Identifier
1740463389
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000519 Issued in NY
Practice address
101 Hurley Ave Ste 203
Kingston, NY 12401-2800
Phone
(845) 489-8874
Fax
(845) 217-5693
NPI assigned
Dec 5, 2007
Last updated
Oct 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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 000519 NY Primary

Addresses

Primary practice location

101 Hurley Ave Ste 203
Kingston, NY 12401-2800

Mailing address

101 Hurley Ave Ste 203
Kingston, NY 12401-2800
Phone (845) 489-8874

Other practice location 1

239 Fair St.
Suite 2 2nd Floor
Kingston, NY 12401
Phone (845) 489-8874

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

State licenses

LicenseStateTypeSpecialty
000519NYMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1740463389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HURLEY AVE STE 203",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012800",
            "telephone_number": "845-489-8874",
            "fax_number": "845-217-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HURLEY AVE STE 203",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012800",
            "telephone_number": "845-489-8874",
            "fax_number": "845-217-5693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 Fair St.",
            "address_2": "Suite 2 2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "12401",
            "country_code": "US",
            "telephone_number": "845-489-8874",
            "fax_number": "845-217-5284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANELLI",
        "first_name": "GERI",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LMHC, MA COMMUNITY &",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.