Kelsey Lennertz, CASAC

Primary specialty

Rehabilitation CounselorTaxonomy code 225C00000X

Practice address

2101 Spruce Street
North Collins, NY 14111

Phone

(716) 337-3706

NPI assigned

Mar 16, 2021

Last updated

Apr 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1760067144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 SPRUCE STREET",
            "city": "NORTH COLLINS",
            "state": "NY",
            "postal_code": "14111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 SPRUCE STREET",
            "city": "NORTH COLLINS",
            "state": "NY",
            "postal_code": "14111",
            "telephone_number": "716-337-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENNERTZ",
        "first_name": "KELSEY",
        "credential": "CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "34257",
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Lee King, SPEECH PATHOLOGIST
• Virginia Kowal
• Christine Marie Kuna, OTR/L
• James Lavalle
• Robin Lynn Leatherbarrow, MS, OTR/L
• Christina Luce, LMSW
• A Frank Mauro, RPH
• Ashley M Meinhold
• Nicholas Thomas Mekus, LCSW
• Kathryn Millard, PMHNP-BC

• Rehabilitation Counselor in North Collins, NY
• Providers in North Collins, NY by specialty
• Rehabilitation Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.