Individual provider Active NPI

Christina L. Gmyr, LMHC, NCC

  • Mental Health Counselor
  • Baldwinsville, NY
National Provider Identifier
1992036040
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
004828-1 Issued in NY
Practice address
12 W Genesee St
Baldwinsville, NY 13027-1186
Phone
(315) 503-1151
NPI assigned
Jan 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 004828-1 NY Primary

Addresses

Primary practice location

12 W Genesee St
Baldwinsville, NY 13027-1186

Mailing address

12 W Genesee St
Baldwinsville, NY 13027-1186
Phone (315) 228-0866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
004828-1NYMDMental Health Counselor
004828NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christina L. Gmyr, Licensed Mental Health Counselor, PLLC CurrentSince May 31, 2020 Accepting new patients

Locations

12 W Genesee St
Baldwinsville, NY 13027
Phone (315) 503-1151

8116 Cazenovia Rd
Manlius, NY 13104

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992036040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W GENESEE ST",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130271186",
            "telephone_number": "315-228-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W GENESEE ST",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130271186",
            "telephone_number": "315-503-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GMYR",
        "first_name": "CHRISTINA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2022-07-21",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004828-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwinsville, NY

Sources for this page

Verify at the official NPI Registry.