Reverie Creative Arts Therapy Services, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

REVERIE CREATIVE ARTS THERAPY SERVICES, PLLC

Practice address

7000 E Genesee St Ste D
Fayetteville, NY 13066-1131

Phone

(315) 783-8191

NPI assigned

Jan 10, 2024

Last updated

Jan 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mackenzie Gillett Gillett, LCAT, ATR-BC

Title

Therapist/Owner

Phone

(315) 783-8191

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mackenzie R Gillett

  • Counselor
  • Fayetteville, NY
  • NPI 1164932166

  Mental Health

  NPD

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1801667621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6494 COLTON RD",
            "city": "LA FAYETTE",
            "state": "NY",
            "postal_code": "130849658",
            "telephone_number": "315-783-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 E GENESEE ST STE D",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661131",
            "telephone_number": "315-783-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVERIE CREATIVE ARTS THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "GILLETT",
        "authorized_official_first_name": "MACKENZIE GILLETT",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "315-783-8191",
        "authorized_official_credential": "LCAT, ATR-BC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonja S. Rector, LMFT
• William C Redfield, MSW, M. DIV.
• Marilyn E Rees, MPS
• Simone Reid, DDS
• Maria Andrea Reinking, PH.D.
• Revitalize Cny, LLC
• David Dominick Riccardi, MD
• Dawn C Richardson, MD
• Right Size Kids, Inc.
• Cami K Riley, MD

• Mental Health Counselor in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.