Organization Active NPI

Dragonfly Mental Health Counseling Services

  • Mental Health Counselor
  • Canandaigua, NY
National Provider Identifier
1912577966
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DRAGONFLY MENTAL HEALTH COUNSELING SERVICES
Practice address
5297 Parkside Dr Ste 420a
Canandaigua, NY 14424-7502
Phone
(585) 337-0792
NPI assigned
Jun 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Authorized official

Name
Jayme Abbott, LMHC
Title
Owner/Director
Phone
(585) 337-0792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5297 Parkside Dr Ste 420a
Canandaigua, NY 14424-7502

Mailing address

5297 Parkside Dr Ste 420a
Canandaigua, NY 14424-7502
Phone (585) 337-0792

Other identifiers 1

IdentifierTypeStateIssuer
005990OtherNYNYS BOARD OF PROFESSIONS

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": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1912577966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5297 PARKSIDE DR STE 420A",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144247502",
            "telephone_number": "585-337-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5297 PARKSIDE DR STE 420A",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144247502",
            "telephone_number": "585-337-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGONFLY MENTAL HEALTH COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "JAYME",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "585-337-0792",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS BOARD OF PROFESSIONS",
            "identifier": "005990",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.