STEPHANIE DOUGHTY KILGANNON
NPI 1669139085
Counselor - Mental Health in Massapequa, NY

Active since November 19, 2021
54 CHERRY ST, MASSAPEQUA, NY 11758(718) 791-7487 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Counselor
  • Mental Health

About STEPHANIE KILGANNON

This page provides the complete NPI Profile along with additional information for Stephanie Kilgannon, a provider established in Massapequa, New York with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1669139085 assigned on November 2021. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1669139085 Verify this NPI
Provider Name
STEPHANIE DOUGHTY KILGANNON
Other Name
STEPHANIE DOUGHTY
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
54 CHERRY ST MASSAPEQUA, NY 11758
Location Phone
(718) 791-7487
Mailing Address
54 CHERRY ST MASSAPEQUA, NY 11758
Mailing Phone
(718) 791-7487
Is Sole Proprietor?
Yes
Enumeration Date
11-19-2021
Last Update Date
11-19-2021
Code Navigator

A mental health counselor like Stephanie Kilgannon provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
2101YS0200XBehavioral Health & Social Service Providers

Counselor
School

 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669139085, enumerated as an "individual" on November 19, 2021.

The provider is located at 54 CHERRY ST MASSAPEQUA, NY 11758 and the phone number is (718) 791-7487.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.