Colleen R Klintworth, LMHC - Medicare Counselor in Canandaigua, NY

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Colleen R Klintworth, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Canandaigua, New York. She graduated from healthcare school in 2009 and has 17 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Valera Medical Pc and her current practice location is 142 Mill St, Canandaigua, New York. You can reach out to her office (for appointments etc.) via phone at (585) 622-1604.

Colleen R Klintworth is licensed to practice in New York (license number 006535) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356728950.

Contact Information

Colleen R Klintworth, LMHC
142 Mill St,
Canandaigua, NY 14424-2037
(585) 622-1604
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameColleen R Klintworth
GenderFemale
SpecialityMental Health Counselor
Experience17 Years
Location142 Mill St, Canandaigua, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Colleen R Klintworth graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1356728950
  • Provider Enumeration Date: 05/04/2015
  • Last Update Date: 08/01/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5698282887
  • Enrollment ID: I20250731000460

Medical Identifiers

Medical identifiers for Colleen R Klintworth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356728950NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 006535 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Valera Medical Pc0547690521160

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Colleen R Klintworth allows following entities to bill medicare on her behalf.
Entity NameValera Medical PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437782349
PECOS PAC ID: 0547690521
Enrollment ID: O20200414003279

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Colleen R Klintworth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Colleen R Klintworth, LMHC
175 Telyea St,
Canandaigua, NY 14424-1652

Ph: (585) 622-1604		Colleen R Klintworth, LMHC
142 Mill St,
Canandaigua, NY 14424-2037

Ph: (585) 622-1604

Reviews and Comments


Counselor in Canandaigua, NY

Raymond Barrett, LPC, LMHC
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Practice Location: 514 S Main St, Canandaigua, NY 14424
Phone: 585-857-6122    Fax: 585-905-3239
Misselle Lavonne Jeffcoat, LPMHC, LPC, MS
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 400 Fort Hill Ave, Canandaigua, NY 14424
Phone: 585-393-7218    
Mrs. Theresa Marie Beach, LCSW R
Counselor
Medicare: Medicare Enrolled
Practice Location: 527 N Main St, Canandaigua, NY 14424
Phone: 585-394-1294    Fax: 585-394-1294
Mr. Thomas J. Streb,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3019 County Complex Dr, Canandaigua, NY 14424
Phone: 585-396-4190    Fax: 585-393-2916
Ms. Lindsey L. Peterson,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3019 County Complex Dr, Canandaigua, NY 14424
Phone: 585-396-4190    Fax: 585-383-2916
Deloisa I Kelley, PMHNP
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 42 N Main St, Canandaigua, NY 14424
Phone: 585-919-0014    
Mr. Shafeegh Habeeb,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3019 County Complex Dr, Canandaigua, NY 14424
Phone: 585-396-4190    Fax: 585-393-2916

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.