Active NPI
Robert C Kaminski
- Mental Health Counselor
- Canandaigua, NY
National Provider Identifier
1982653416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PRO181291
- Practice address
- 527 North Main Street
Canandaigua, NY 14424 - Phone
- (585) 394-1294
- Fax
- (585) 394-1294
- NPI assigned
- May 10, 2006
- Sex
- Male
- 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 | PRO181291 | NY | Primary |
Addresses
Primary practice location
527 North Main Street
Canandaigua, NY 14424
Mailing address
527 North Main Street
Canandaigua, NY 14424
Phone (585) 394-1294
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100357FK | Other | NY | PREFERRED CARE |
| PO10018129 | Other | NY | BCBS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040416000016 | NY | Practitioner - Clinical Social Worker | 0042205478 | Practice locations: Canandaigua, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRO181291 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1982653416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 NORTH MAIN STREET",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "14424",
"telephone_number": "585-394-1294",
"fax_number": "585-394-1294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 NORTH MAIN STREET",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "14424",
"telephone_number": "585-394-1294",
"fax_number": "585-394-1294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMINSKI",
"first_name": "ROBERT",
"middle_name": "C",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "PRO181291",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "100357FK",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "PO10018129",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.