Individual provider Active NPI

Katie Eileen McLean, MS.ED., LMHC

  • Mental Health Counselor
  • Latham, NY
National Provider Identifier
1003132580
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
004689 Issued in NY
Practice address
1182 Troy Schenectady Rd Ste 204
Latham, NY 12110-1000
Phone
(518) 400-5180
Fax
(518) 940-4420
NPI assigned
Apr 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 004689 NY Primary

Addresses

Primary practice location

1182 Troy Schenectady Rd Ste 204
Latham, NY 12110-1000

Mailing address

1182 Troy Schenectady Rd Ste 204
Latham, NY 12110-1000
Phone (518) 400-5180

Other names 1

  • Ms. Katie Eileen McLean Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105003030 NY Practitioner - Mental Health Counselor 8325499155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katie McLean Mental Health Counseling PLLCGroup PAC ID 7618328444, 7 clinicians

Practice addresses (Care Compare)

939 Route 146
Suite 520
Clifton Park, NY 12065-3662
Phone (518) 676-1791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004689NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Katie McLean Mental Health Counseling PLLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

939 Route 146
Ste 520
Clifton Park, NY 12065
Phone (518) 626-8645

1182 Troy Schenectady Rd
Ste 204
Latham, NY 12110
Phone (518) 320-7859

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1003132580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 TROY SCHENECTADY RD STE 204",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101000",
            "telephone_number": "518-400-5180",
            "fax_number": "518-940-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 TROY SCHENECTADY RD STE 204",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101000",
            "telephone_number": "518-400-5180",
            "fax_number": "518-940-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "KATIE",
        "middle_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "MS.ED., LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-09",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "MCLEAN",
            "middle_name": "EILEEN",
            "prefix": "MS.",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Latham, NY

Sources for this page

Verify at the official NPI Registry.