Healthcare Provider Details

I. General information

NPI: 1982533089
Provider Name (Legal Business Name): JARED RUMSEY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 MANCHESTER RD
POUGHKEEPSIE NY
12603-2596
US

IV. Provider business mailing address

52 ELIZABETH ST
KINGSTON NY
12401-5340
US

V. Phone/Fax

Practice location:
  • Phone: 845-486-2703
  • Fax:
Mailing address:
  • Phone: 845-452-1110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP137243
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: