Kymberlin Enright, LMHC-LP

Individual provider Active NPI Mental Health Counselor · Clarence, NY

NPI 1891510046 · NPPES record last updated Nov 21, 2024

Key facts

NPI
1891510046
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
P132148 (NY)
Practice address
9070 Main St
Clarence, NY 14031-1825
Phone
(716) 632-3200
NPI assigned
Nov 21, 2024
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P132148NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Counseling Ministries of Western New York Inc Mental Health Current
since Nov 24, 2024
Accepting new patients

Locations

9070 Main St
Clarence, NY 14031
Phone (716) 632-3200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P132148 NY Yes

Addresses

Primary practice location

9070 Main St
Clarence, NY 14031-1825

Mailing address

9070 Main St
Clarence, NY 14031-1825
Phone (716) 632-3200

Other providers in Clarence, NY

All providers in Clarence, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.