Individual provider Active NPI

Kathleen Obrien, LMSW; CASACT

  • Mental Health Counselor
  • New Windsor, NY
National Provider Identifier
1861801227
Registry record updated Aug 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
72-079068 Issued in NY
Practice address
10 Kayleen Dr
New Windsor, NY 12553-7030
Phone
(845) 565-6888
NPI assigned
Aug 10, 2014
Last updated
Aug 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 30411 NY
Mental Health Counselor 101YM0800X 72-079068 NY Primary

Addresses

Primary practice location

10 Kayleen Dr
New Windsor, NY 12553-7030

Mailing address

31 Ruth CT
Middletown, NY 10940-5328
Phone (845) 342-4966

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
30411NYMDAddiction (Substance Use Disorder) Counselor
72-079068NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Windsor Counseling Group Addiction (Substance Use Disorder) Past Accepting new patients
Windsor Counseling Group Past Accepting new patients

Organizations & group practices 2

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": "1407628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407628800000",
    "number": "1861801227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 RUTH CT",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405328",
            "telephone_number": "845-342-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 KAYLEEN DR",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125537030",
            "telephone_number": "845-565-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRIEN",
        "first_name": "KATHLEEN",
        "credential": "LMSW; CASACT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-10",
        "last_updated": "2014-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "30411",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "72-079068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2014; 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.