Organization Active NPI

Recovery & Wellness Mental Health Counseling PLLC

  • Clinical Social Worker
  • Wappingers Falls, NY
National Provider Identifier
1861863086
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073861-1 Issued in NY
Legal business name
RECOVERY & WELLNESS MENTAL HEALTH COUNSELING PLLC
Practice address
3 Market St
Wappingers Falls, NY 12590-2301
Phone
(845) 321-5644
Fax
(845) 632-3520
NPI assigned
Oct 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Johanna Korby, LMHC, CASAC, SAPNPI 1497032007
Title
Mental Health Counselor
Phone
(845) 321-5644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 004770-1 NY
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 073861-1 NY Primary

Addresses

Primary practice location

3 Market St
Wappingers Falls, NY 12590-2301

Mailing address

9 River Rd
New Hamburg, NY 12590-5539
Phone (845) 321-5644

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1861863086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RIVER RD",
            "city": "NEW HAMBURG",
            "state": "NY",
            "postal_code": "125905539",
            "telephone_number": "845-321-5644",
            "fax_number": "845-632-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MARKET ST",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125902301",
            "telephone_number": "845-321-5644",
            "fax_number": "845-632-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY & WELLNESS MENTAL HEALTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "KORBY",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "845-321-5644",
        "authorized_official_credential": "LMHC, CASAC, SAP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004770-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073861-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.