Individual provider Active NPI

Jerilyn Donovan

  • Mental Health Counselor
  • Washingtonville, NY
National Provider Identifier
1972244036
Registry record updated Apr 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
017731 Issued in NY
Practice address
7 Bristol CT
Washingtonville, NY 10992-1366
Phone
(845) 630-9318
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2026

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 017731 NY Primary

Addresses

Primary practice location

7 Bristol CT
Washingtonville, NY 10992-1366

Mailing address

7 Bristol CT
Washingtonville, NY 10992-1366
Phone (845) 630-9318

Other practice location 1

146 Pike St
Port Jervis, NY 12771-1808
Phone (845) 858-1456

Other practice location 2

30 Harriman Dr
Goshen, NY 10924-2410
Phone (845) 291-2600

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jdonovan@orangecountygov.com

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775865600000",
    "number": "1972244036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BRISTOL CT",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "109921366",
            "telephone_number": "845-630-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BRISTOL CT",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "109921366",
            "telephone_number": "845-630-9318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 Pike St",
            "address_purpose": "LOCATION",
            "city": "Port Jervis",
            "state": "NY",
            "postal_code": "127711808",
            "country_code": "US",
            "telephone_number": "845-858-1456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Harriman Dr",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "NY",
            "postal_code": "109242410",
            "country_code": "US",
            "telephone_number": "845-291-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "JERILYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2026-04-11",
        "certification_date": "2026-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "017731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jdonovan@orangecountygov.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "146 Pike St",
            "city": "Port Jervis",
            "state": "NY",
            "country_code": "US",
            "postal_code": "127711808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washingtonville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2026; 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.