Active NPI
Gaining Ground Mental Health Counseling PLLC
- Mental Health Counselor
- New York, NY
National Provider Identifier
1992458798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kyle Fullmer, LMHC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.
-
- Mental Health Counselor
- New York, NY
- NPI 1932694205
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.