Active NPI
Kim Garnon, M.A.
- Mental Health Counselor
- Erie, PA
National Provider Identifier
1952577355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1741 W 26TH St
Erie, PA 16508-1256 - Phone
- (814) 392-9440
- Fax
- (814) 455-5656
- NPI assigned
- May 6, 2008
- Last updated
- Oct 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1741 W 26TH St
Erie, PA 16508-1256
Mailing address
416 Glenruadh Ave
Erie, PA 16505-1733
Phone (814) 392-9440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 22, 2024 through Jun 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507075200000",
"number": "1952577355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 GLENRUADH AVE",
"city": "ERIE",
"state": "PA",
"postal_code": "165051733",
"telephone_number": "814-392-9440",
"fax_number": "814-455-5656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1741 W 26TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165081256",
"telephone_number": "814-392-9440",
"fax_number": "814-455-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARNON",
"first_name": "KIM",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-06",
"last_updated": "2017-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.