MRS. GWENDOLYN BURRIS (NPI# 1558962779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558962779 |
| Entity Type | Individual |
| Full Name | MRS. GWENDOLYN BURRIS |
| Practice Address |
20 Gilbert Avenue Suite 107-a Smithtown NY 11787 |
| Mailing Address |
P.o. Box 296 Nesconset NY 11767-0296 |
| Practice Telephone | 6319012052 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
20 GILBERT AVENUE SUITE 107-A |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| 1275055790 | Angela Sue Gallagher | Specialist | 29 Hemlock Lane, Smithtown, NY 11787 | 2017-07-17 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467785196 | Francine Greene | Counselor | 14 Trent Ln, Smithtown, NY 11787-1238 | 2009-09-14 |
| 1003463639 | Elizabeth Susan Pullara | Counselor | 161 E Main St, Smithtown, NY 11787-2879 | 2019-08-19 |
| 1205378767 | Joann Murolo | Counselor | 11 Route 111, Smithtown, NY 11787-3754 | 2016-11-14 |
| 1740670488 | David Viola | Counselor | 11 Route 111, Smithtown, NY 11787-3753 | 2015-02-03 |
| 1326445776 | Nicole Sanders | Counselor | 11 Route 111, Smithtown, NY 11787-3753 | 2014-12-01 |
| 1205232642 | Lorie Vanessa Boyd | Counselor | 11 Route 111, Smithtown, NY 11787-3753 | 2014-11-12 |
| 1003242629 | Kevfoy Lenroy Fletcher | Counselor | 11 Route 111, Smithtown, NY 11787-3739 | 2013-09-16 |
| 1942556659 | Melissa Benfanti | Counselor | 270 East Main Street, Smithtown, NY 11787 | 2012-07-31 |
| 1194940221 | Michael J Apostoli | Counselor | 60 E Hill Dr, Smithtown, NY 11787-2064 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407869 | Elise Morse | Counselor | 47 N 5th St, Hudson, NY 12534-1917 | 2020-11-05 |
| 1992305031 | Samuel Steinberg | Counselor | 623 Laconia Ave Apt G, Staten Island, NY 10306-5260 | 2020-10-28 |
| 1679172241 | Ilysa Mitofsky | Counselor | 34 Brook Trl, Greenwood Lake, NY 10925-4209 | 2020-10-23 |
| 1740888916 | Katie Glynn | Counselor | 254 Franklin St Fl 2, Buffalo, NY 14202-1932 | 2020-10-11 |
| 1376141655 | Deborah Elaine Ricci | Counselor | 43o Niagara Sq, Buffalo, NY 14202 | 2020-10-09 |
| 1700483617 | Samantha J Thompson | Counselor | 152 Sutter Ave, Brooklyn, NY 11212-4504 | 2020-10-04 |
| 1033726047 | Elliot Rosenbaum | Counselor | 121 Station Rd, Great Neck, NY 11023-1720 | 2020-09-24 |
| 1508472002 | Taylor Durant | Counselor | 3959 Broadway Fl 12, New York, NY 10032-1559 | 2020-09-20 |
| 1174138622 | Adam M Schutz | Counselor | 8008 135th St Apt 422, Briarwood, NY 11435-1001 | 2020-09-11 |
| 1225642150 | Mopsy Adeyemi | Counselor | 40 Lakewood Blvd, Lynbrook, NY 11563-3714 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
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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.