Organization Active NPI

Gaining Ground Mental Health Counseling PLLC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1992458798
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GAINING GROUND MENTAL HEALTH COUNSELING PLLC
Practice address
225 Broadway Ste 3400
New York, NY 10007-3054
Phone
(585) 507-4916
Fax
(332) 345-2040
NPI assigned
Feb 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Mr. Kyle Fullmer, LMHCNPI 1932694205
Title
Owner
Phone
(937) 479-0717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

225 Broadway Ste 3400
New York, NY 10007-3054

Mailing address

2604 Elmwood Ave Ste 149
Rochester, NY 14618-2213
Phone (585) 507-4916

National Provider Directory

National Provider Directory

Locations

225 Broadway
Ste 3400
New York, NY 10007
Phone (212) 229-0150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1992458798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 ELMWOOD AVE STE 149",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182213",
            "telephone_number": "585-507-4916",
            "fax_number": "332-345-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROADWAY STE 3400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073054",
            "telephone_number": "585-507-4916",
            "fax_number": "332-345-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINING GROUND MENTAL HEALTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "FULLMER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-479-0717",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.