Individual provider Active NPI

Adina Bari Gutierrez, MHC-LP

  • Mental Health Counselor
  • Beacon, NY
National Provider Identifier
1003692963
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P124411 Issued in NY
Practice address
242 Main St # 294
Beacon, NY 12508-2732
Phone
(845) 277-0269
NPI assigned
Sep 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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 P124411 NY Primary

Addresses

Primary practice location

242 Main St # 294
Beacon, NY 12508-2732

Mailing address

242 Main St # 294
Beacon, NY 12508-2732

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
I20251024001029 NY Practitioner - Mental Health Counselor 8820586480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18 Roundtree CT
Beacon, NY 12508-2118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P124411NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Adina Gutierrez Mental Health Counseling, PLLC Current Accepting new patients
Jesse Kahn LCSW PLLC CurrentSince Oct 15, 2025 Accepting new patients

Locations

242 Main St
#294
Beacon, NY 12508
Phone (845) 276-0274

850 7th Ave
Ste 1106
New York, NY 10019
Phone (646) 797-4340

Organizations & group practices 2

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": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1003692963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 MAIN ST # 294",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125082732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 MAIN ST # 294",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125082732",
            "telephone_number": "845-277-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ADINA",
        "middle_name": "BARI",
        "credential": "MHC-LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P124411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beacon, NY

Sources for this page

Verify at the official NPI Registry.