National Provider Identifier

Ida Rockwell-Kettles

Ida Rockwell-Kettles is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 200-7106.

NPI 1568034452Rochester, NYMental Health Counselor

Profile Overview

NPI
1568034452
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
July 12, 2021
Last Updated
October 15, 2021

Practice Location

  • 510 Clinton Sq
  • Rochester, NY 14604-1700

Phone: (585) 200-7106

Specialties

  • Mental Health Counselor (101YM0800X)

Endpoints

  • 400304

    Connect Url | Rochester, NY 14604

  • 400304

    Connect Url | El-Amin-Turner Mental Health Counseling LLC | Rochester, NY 14607

Full Record
NPI
1568034452
Entity Type
Individual
Last Name
Rockwell-Kettles
First Name
Ida
Mailing Street Address
510 Clinton Sq
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14604-1700
Mailing Country
US
Mailing Phone
(585) 204-0381
Mailing Fax
(973) 253-4500
Practice Street Address
510 Clinton Sq
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14604-1700
Practice Country
US
Practice Phone
(585) 200-7106
Enumeration Date
July 12, 2021
Last Updated
October 15, 2021
Sex
Female
Sole Proprietor
No
Certification Date
October 15, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)
Other Identifiers
1568034452 (NY, Insurance)