Active NPI
Kristina Suzanne Ciesielski, LMHC
- Mental Health Counselor
- Syracuse, NY
National Provider Identifier
1992839898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 007999-1
- Practice address
- 215 Wyoming St
Syracuse, NY 13204-2927 - Phone
- (315) 703-8700
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6491 | MA | |
| Mental Health Counselor | 101YM0800X | 007999-1 | NY | Primary |
Addresses
Primary practice location
215 Wyoming St
Syracuse, NY 13204-2927
Mailing address
215 Wyoming St
Syracuse, NY 13204-2927
Phone (315) 703-8700
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007999-1 | NY | MD | Mental Health Counselor |
| 6491 | MA | MD | Children's Rehabilitation Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545177600000",
"number": "1992839898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 WYOMING ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132042927",
"telephone_number": "315-703-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 WYOMING ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132042927",
"telephone_number": "315-703-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIESIELSKI",
"first_name": "KRISTINA",
"middle_name": "SUZANNE",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2018-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "6491",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "007999-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.