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MAKALA KINNICUTT
NPI 1740065671
Counselor - Mental Health in Elmira, NY

Active since August 29, 2023PECOS Enrolled
1019 E WATER ST, ELMIRA, NY 14901(607) 733-5696 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Makala Kinnicutt NPPES

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

MAKALA KINNICUTT (NPI 1740065671) is an individual mental health provider in Elmira, New York and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1740065671
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMAKALA KINNICUTT
Location Address1019 E WATER STElmira, NY 14901-3332
Mailing Address1019 E Water StElmira, NY 14901-3332 · (607) 733-5696
Phone(607) 733-5696
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 29, 2023
NPPES CertifiedAugust 29, 2023
✔ NPI 1740065671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1019 E WATER ST, Elmira, NY 14901
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Makala Kinnicutt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800365420
PECOS Enrollment IDI20260513001383
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 20

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

KATHLEEN FRICKEL
Registered Nurse
1019 E WATER ST
ELMIRA, NY 14901
Chemung County (607) 733-5696
VICTORIA LYNN FORD
Counselor
1019 E WATER ST
ELMIRA, NY 14901
Chemung County (607) 733-5696
PATRICIA K. PLAISTED
Social Worker
1019 E WATER ST
ELMIRA, NY 14901
Chemung County (607) 733-5696
MRS. BRENDA DEE ROBERSON LMSW
Social Worker
1019 E WATER ST
ELMIRA, NY 14901
Chemung County (607) 737-2490
BARBARA STAGER
Social Worker
1019 E WATER ST
ELMIRA, NY 14901
Chemung County (607) 733-5696
ELIZABETH MARIE LAMBERT LMSW
Social Worker
1019 E WATER ST
ELMIRA, NY 14901
Chemung County (607) 733-5696
GEETHA X LOUISNATHAN MSW
Counselor (Mental Health)
1019 E WATER ST
ELMIRA, NY 14901
Chemung County (607) 733-5696
RAYNEE HODGE MFT
Marriage & Family Therapist
1019 E WATER ST
ELMIRA, NY 14901
Chemung County (607) 733-5696

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 Makala Kinnicutt's NPI number?

The NPI number for Makala Kinnicutt is 1740065671. It was assigned to this individual provider in the NPPES registry on August 29, 2023.

Where is Makala Kinnicutt located?

Makala Kinnicutt practices at 1019 E Water St, Elmira, NY 14901. The listed phone number is (607) 733-5696.

What is Makala Kinnicutt's specialty?

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

Is Makala Kinnicutt enrolled in Medicare?

Yes. Makala Kinnicutt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Makala Kinnicutt was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.