{"npi":"1801377940","type":"NPI-1","status":"active","name":{"display":"Kelli Gary Lmhc","other":[],"first":"KELLI","last":"GARY","credential":"LMHC"},"specialty":{"primary_taxonomy":"101YM0800X","primary_taxonomy_description":"Mental Health Counselor","slug":"mental-health-counselor","schema_org_specialty":null,"all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"80 STATE HIGHWAY 310","city":"CANTON","state":"NY","postal_code":"136171436","country_code":"US","phone":"3152293480","fax":"3152293489"},{"purpose":"MAILING","street_1":"PO BOX 6550","city":"WATERTOWN","state":"NY","postal_code":"136016550","country_code":"US","phone":"3157827445","fax":"3157791184"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"3372621","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240312001832","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"NY","pac_id":"3173969284"}]},"enumeration_date":"2018-08-27","last_updated":"2024-10-03","_meta":{"source":"NPPES","snapshot_date":"2024-10-03","doc_url":"https://findmynpi.com/api"}}