Individual provider Active NPI

Despina Mitchell, LMFT

  • Marriage & Family Therapist
  • Rochester, NY
National Provider Identifier
1780278754
Registry record updated Feb 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001001 Issued in NY
Practice address
625 Panorama TRL Ste 200
Rochester, NY 14625-2432
Phone
(585) 387-0008
NPI assigned
Feb 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001001 NY Primary

Addresses

Primary practice location

625 Panorama TRL Ste 200
Rochester, NY 14625-2432

Mailing address

625 Panorama TRL Ste 200
Rochester, NY 14625-2432
Phone (585) 703-6088

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Www.Eastsidemft.com

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

NPI Registry JSON

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

{
    "created_epoch": "1613865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613865600000",
    "number": "1780278754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 PANORAMA TRL STE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252432",
            "telephone_number": "585-703-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 PANORAMA TRL STE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252432",
            "telephone_number": "585-387-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "DESPINA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-21",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Www.Eastsidemft.com",
            "affiliation": "N",
            "address_1": "625 Panorama Trl Ste 200",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146252432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 21, 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.