Individual provider Active NPI

Kerry Donelli, LMHC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1790112290
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007066 Issued in NY
Practice address
400 W 43Rd St
16T
New York, NY 10036-6302
Phone
(646) 410-1151
Fax
(347) 343-2907
NPI assigned
Sep 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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 007066 NY Primary

Addresses

Primary practice location

400 W 43Rd St
16T
New York, NY 10036-6302

Mailing address

400 W 43Rd St
16T
New York, NY 10036-6302
Phone (646) 410-1151

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
007066NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
K. Donelli Psychotherapy Licensed Mental Health Counselor Mental Health Current Accepting new patients

Locations

1441 Broadway
Fl 5
New York, NY 10018
Phone (646) 389-0611

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1790112290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 43RD ST",
            "address_2": "16T",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100366302",
            "telephone_number": "646-410-1151",
            "fax_number": "347-343-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 43RD ST",
            "address_2": "16T",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100366302",
            "telephone_number": "646-410-1151",
            "fax_number": "347-343-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONELLI",
        "first_name": "KERRY",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.