MRS. KRISTIN M NEAGLE


Address: 420 East Genesee St, Syracuse, NY 13202-2129
Phone: 3152180855

MRS. KRISTIN M NEAGLE (NPI# 1275168155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275168155
Entity Type Individual
Full Name MRS. KRISTIN M NEAGLE
Other Name MRS. KRISTIN M LILLY
Credential L.M.H.C.
Practice Address 420 East Genesee St
Syracuse
NY 13202-2129
Practice Telephone 3152180855
Practice Fax Number 3154783118
Mailing Telephone 3152180855
Mailing Fax Number 3154783118
Enumeration Date 2020-03-11
Last Update Date 2020-03-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
001829-1 NY Behavioral Health & Social Service Providers

Office Location

Street Address 420 EAST GENESEE ST
City SYRACUSE
State NY
Zip Code 13202-2129

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1083165005 Candy Herbert Counselor 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 2016-10-14
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1356905996 Niccole R Lorenzo Counselor 6181 Thompson Rd Ste 803, Syracuse, NY 13206-1435 2019-04-29
1194281972 Melissa Button Counselor 132 Nichols Ave, Syracuse, NY 13206-3045 2019-02-16
1215405287 Wellness Therapy Services Lcsw, Pllc Counselor Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 2018-11-08
1033626601 Daniel Cervantes Counselor 46 Ems D18 Ln, Syracuse, IN 46567-7907 2018-01-04
1083165005 Candy Herbert Counselor 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 2016-10-14
1497205975 Phuong Pham Counselor 329 North Salina Street, Syracuse, NY 13203 2016-10-10
1326436700 Christine Matteson Counselor 1600 Teall Ave, Syracuse, NY 13206-3231 2015-01-07
1174930879 Antoinette Marinelli,lmsw Counselor 112 Dewitt St Ste 205a, Syracuse, NY 13203-2892 2014-07-15
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Competitor

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City SYRACUSE
Zip Code 13202

Improve Information

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Dataset Information

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.

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