Individual provider Active NPI

Channyn Quinn, MS, LMHC

  • Mental Health Counselor
  • East Rochester, NY
National Provider Identifier
1770150559
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
333 W Commercial St
East Rochester, NY 14445-2400
Phone
(585) 545-9362
NPI assigned
Jun 9, 2021
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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 Primary

Addresses

Primary practice location

333 W Commercial St
East Rochester, NY 14445-2400

Mailing address

366 Oxford St Apt 5
Rochester, NY 14607-2737
Phone (585) 545-9362

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
I20250626001925 NY Practitioner - Mental Health Counselor 0547772287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
014175NYMDMilitary Clinical Medical Laboratory

Practice roles

OrganizationSpecialtyStatusNew patients
365 Mental Health Counseling PLLC Mental Health CurrentSince Apr 24, 2025 Accepting new patients
Inclusive Insights Mental Health Counseling, PLLC Mental Health Current Accepting new patients
Mind Body and Soul Counseling LLC Mental Health PastSince Nov 28, 2021 Accepting new patients

Locations

333 W Commercial St
East Rochester, NY 14445
Phone (208) 421-0568

333 W Commercial St
Fl 3
East Rochester, NY 14445
Phone (315) 353-9191

79 Main St
Port Washington, NY 11050
Phone (844) 469-1800

Organizations & group practices 3

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": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1770150559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 OXFORD ST APT 5",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072737",
            "telephone_number": "585-545-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W COMMERCIAL ST",
            "city": "EAST ROCHESTER",
            "state": "NY",
            "postal_code": "144452400",
            "telephone_number": "585-545-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "CHANNYN",
        "credential": "MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rochester, NY

Sources for this page

Verify at the official NPI Registry.