COLLEEN R. KLINTWORTH LMHC
NPI 1356728950
Counselor - Mental Health in Canandaigua, NY

Active since May 04, 2015PECOS EnrolledAccepts Medicare Assignment
142 MILL ST, CANANDAIGUA, NY 14424(585) 622-1604 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Colleen R. Klintworth Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLEEN R. KLINTWORTH LMHC (NPI 1356728950) is an individual mental health provider in Canandaigua, New York, licensed in New York (006535) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1356728950
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCOLLEEN R. KLINTWORTHCredential: LMHC
Location Address142 MILL STCanandaigua, NY 14424-2037
Mailing Address175 Telyea StCanandaigua, NY 14424-1652 · (585) 622-1604
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMay 4, 2015
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
NPI 1356728950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NY · 006535
142 MILL ST, Canandaigua, NY 14424

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Colleen R. Klintworth Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698282887
PECOS Enrollment IDI20250731000460
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
142 MILL ST
CANANDAIGUA, NY 14424

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colleen Klintworth's NPI number?

The NPI number for Colleen Klintworth is 1356728950. It was assigned to this individual provider in the NPPES registry on May 4, 2015.

Where is Colleen Klintworth located?

Colleen Klintworth practices at 142 Mill St, Canandaigua, NY 14424. The listed phone number is (585) 622-1604.

What is Colleen Klintworth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Colleen Klintworth enrolled in Medicare?

Yes. Colleen Klintworth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Colleen Klintworth accept?

Health plans from Providence Health Plan list Colleen Klintworth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Colleen Klintworth was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.