AUTUMN KUKLINSKI (NPI# 1255866091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255866091 |
| Entity Type | Individual |
| Full Name | AUTUMN KUKLINSKI |
| Credential | LMHC |
| Practice Address |
314 Central Ave Capital District Clinic Albany NY 12206-2522 |
| Practice Telephone | 5184070093 |
| Practice Fax Number | 5184070095 |
| Mailing Telephone | 5184070093 |
| Mailing Fax Number | 5184070095 |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
007462 | NY | Behavioral Health & Social Service Providers |
| Street Address |
314 CENTRAL AVE CAPITAL DISTRICT CLINIC |
| City | ALBANY |
| State | NY |
| Zip Code | 12206-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170807 | Kiona L Walters | Counselor | 314 Central Ave, Albany, NY 12206-2522 | 2020-10-01 |
| 1891303137 | Emily Gail O'brien | Counselor | 314 Central Ave, Albany, NY 12206-2522 | 2020-07-22 |
| 1760951966 | Theresa D'amica | Registered Nurse | 314 Central Ave, Albany, NY 12206-2522 | 2018-11-16 |
| 1922505049 | Samuel K Schrager | Social Worker | 314 Central Ave, Albany, NY 12206-2522 | 2018-04-06 |
| 1033623335 | Brandy Ethel Kotary | Counselor | 314 Central Ave, Albany, NY 12206-2522 | 2017-11-22 |
| 1568976868 | Linda Maxwell | Counselor | 314 Central Ave, Albany, NY 12206-2522 | 2017-11-22 |
| 1891227443 | Courtney Nash | Social Worker | 314 Central Ave, Capital District Clinic, Albany, NY 12206-2522 | 2017-04-03 |
| 1275917460 | Caitlin Gorr | Social Worker | 314 Central Ave, Albany, NY 12206-2522 | 2015-07-17 |
| 1033507314 | Colleen Mcgill | Registered Nurse | 314 Central Ave, Albany, NY 12206-2522 | 2015-01-08 |
| 1104238344 | Joseph Steven Ippolito | Social Worker | 314 Central Ave, Albany, NY 12206-2522 | 2014-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749854 | Madena Lynn Henderson | Licensed Practical Nurse | 51 Garfield Pl, Albany, NY 12206 | 2017-09-13 |
| 1912456534 | Adeel A Janjua I | Contractor | 17 Roosevelt St, Albany, NY 12206 | 2016-09-23 |
| 1376901595 | Jacqueline Aimee Dall | Nurse Practitioner | 855 Central Avenue, Albany, NY 12206 | 2016-02-02 |
| 1326414210 | Sarah Walton | Pharmacist | 346 Central Ave, Albany, NY 12206 | 2015-08-14 |
| 1376932558 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave., Albany, NY 12206 | 2015-01-12 |
| 1679993828 | Lori S. Matulewicz | Nurse Practitioner | 500 Central Ave., Equinox, Inc., Albany, NY 12206 | 2014-04-25 |
| 1437417995 | Ernest Nicola Chisena | Orthopaedic Surgery | 1367 Washington Avenue Suite 200, Albany, NY 12206 | 2012-05-02 |
| 1629368519 | Joseph M Rozell | Radiology | 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 | 2011-04-12 |
| 1346542404 | Melissa June Kowlessar | Licensed Practical Nurse | 69 Benson Street, Albany, NY 12206 | 2010-11-23 |
| 1316109796 | Edmund John Mcgrath | Podiatrist | 911 Central Avenue #24, Albany, NY 12206 | 2008-06-27 |
| Find all providers in zip 12206 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373688 | David Wayne Cass Jr. | Counselor | 200 Jay St, Albany, NY 12210-1808 | 2020-10-13 |
| 1447861893 | Hannah Elizabeth Brooker | Counselor | 688 Myrtle Ave Apt 1, Albany, NY 12208-3331 | 2020-08-10 |
| 1679195796 | Allester Henry | Counselor | 307 Cortland St, Albany, NY 12208-2106 | 2020-05-12 |
| 1962042812 | Be Epic Counseling Services, LLC | Counselor | 323 Pine Ave Ste 114, Albany, GA 31701-2575 | 2020-01-08 |
| 1821636713 | Schae Premdas-auffant | Counselor | 4 Palisades Dr Ste 205, Albany, NY 12205-1449 | 2019-12-11 |
| 1962047282 | John N Kane | Counselor | 443 State St, Albany, NY 12203-1003 | 2019-11-11 |
| 1063054021 | Melissa A Kovelman | Counselor | 10 Barnet St, Albany, NY 12208-2402 | 2019-10-11 |
| 1841853660 | Tanya M Henderson | Counselor | 90 S Swan St Ste 303, Albany, NY 12210-2105 | 2019-04-17 |
| 1861055717 | Nikita Williams | Counselor | 422 Sand Creek Rd Apt 201, Albany, NY 12205-2722 | 2019-04-16 |
| 1013473065 | Joa Paige Riboul | Counselor | 31 Criswood Dr, Albany, NY 12205-1828 | 2019-02-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.