Individual provider Active NPI

Brittany Hennessey, LMHC

  • Mental Health Counselor
  • Gloversville, NY
National Provider Identifier
1003201385
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007799-01 Issued in NY
Practice address
11-21 Broadway St
Gloversville, NY 12078-3968
Phone
(518) 725-4310
Fax
(518) 725-2556
NPI assigned
Apr 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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 007799-01 NY Primary

Addresses

Primary practice location

11-21 Broadway St
Gloversville, NY 12078-3968

Mailing address

11-21 Broadway St
Gloversville, NY 12078-3968
Phone (518) 725-4310

Other names 1

  • Brittany Hannan 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
I20240304001370 NY Practitioner - Mental Health Counselor 9638514342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rensselaer County Bureau of FinanceGroup PAC ID 0749176923, 19 clinicians

Practice addresses (Care Compare)

1600 7TH Ave
Troy, NY 12180-3410
Phone (518) 270-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007799-01NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rensselaer County Bureau of Finance Mental Health CurrentSince Feb 22, 2024 Accepting new patients

Locations

1600 7th Ave
Ste 3
Troy, NY 12180
Phone (518) 270-2646

1600 7th Ave
Troy, NY 12180
Phone (518) 270-2800

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": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1003201385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11-21 BROADWAY ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120783968",
            "telephone_number": "518-725-4310",
            "fax_number": "518-725-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11-21 BROADWAY ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120783968",
            "telephone_number": "518-725-4310",
            "fax_number": "518-725-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSEY",
        "first_name": "BRITTANY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007799-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "HANNAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gloversville, NY

Sources for this page

Verify at the official NPI Registry.