Active NPI
McKenzie Smallcomb
- Mental Health Counselor
- Rochester, NY
National Provider Identifier
1770170284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 008666-1
- Practice address
- 945 E Henrietta Rd Ste a-7
Rochester, NY 14623-1419 - Phone
- (585) 358-0050
- NPI assigned
- Dec 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 008666-1 | NY | Primary |
Addresses
Primary practice location
945 E Henrietta Rd Ste a-7
Rochester, NY 14623-1419
Mailing address
29 Gale Ter
Rochester, NY 14610-1920
Phone (607) 738-3659
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
| License | State | Type | Specialty |
|---|---|---|---|
| 008666-1 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1770170284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 GALE TER",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146101920",
"telephone_number": "607-738-3659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 E HENRIETTA RD STE A-7",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146231419",
"telephone_number": "585-358-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALLCOMB",
"first_name": "MCKENZIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-30",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "008666-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.