Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicholas Kime Ristoff, LMHC

Individual provider Mental Health Counselor · NPI 1770399164

Nicholas Kime Ristoff, LMHC is a Mental Health Counselor in Syracuse, New York. Qualified in 2022, 4 years ago. Practices with Liberty Resources Inc, a 74-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2024
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

635 James St Ste 2
Syracuse, NY 13203-2681
Phone: (315) 382-3766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 015454 (NY)

Record details

NPI number1770399164
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHC
Sole proprietorYes
NPI enumeratedDecember 10, 2024
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Liberty Resources Inc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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