Melissa Avery
Individual provider Active NPI Professional Counselor · Guilderland Center, NY
NPI 1023714482 · NPPES record last updated Feb 6, 2023
Key facts
- NPI
- 1023714482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 461 State Route 146 Apt 4-109
Guilderland Center, NY 12085-9704 - Phone
- (845) 428-6692
- NPI assigned
- Feb 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
461 State Route 146 Apt 4-109
Guilderland Center, NY 12085-9704
Mailing address
461 State Route 146 Apt 4-109
Guilderland Center, NY 12085-9704
Phone (845) 428-6692
Other providers in Guilderland Center, NY
- Guilderland Center Rehabilitation & Extended Care Facility Op Co LLC
- Guilderland Central School District
- Guilderland LTC Management LLC
- Louisa Lombardo
- Maryellen Rudolph
All providers in Guilderland Center, NY · Professional Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.