Individual provider Active NPI

Lauren Anne Kimble-Giglia

  • Mental Health Counselor
  • Pittsford, NY
National Provider Identifier
1962051664
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007984 Issued in NY
Practice address
1169 Pittsford Victor Rd Ste 200
Pittsford, NY 14534-3814
Phone
(716) 204-6869
NPI assigned
Sep 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 007984 NY Primary

Addresses

Primary practice location

1169 Pittsford Victor Rd Ste 200
Pittsford, NY 14534-3814

Mailing address

1169 Pittsford Victor Rd Ste 200
Pittsford, NY 14534-3814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240715003923 NY Practitioner - Mental Health Counselor 2466997309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007984NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1962051664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 PITTSFORD VICTOR RD STE 200",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 PITTSFORD VICTOR RD STE 200",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343814",
            "telephone_number": "716-204-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBLE-GIGLIA",
        "first_name": "LAUREN",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

Verify at the official NPI Registry.