Organization Active NPI

Inner Well Mental Health Counseling PLLC

  • Mental Health Counselor
  • Montgomery, NY
National Provider Identifier
1023974607
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INNER WELL MENTAL HEALTH COUNSELING PLLC
Practice address
2331 State Route 17K
Montgomery, NY 12549-1800
Phone
(845) 500-6375
Fax
(845) 709-8135
NPI assigned
Dec 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Erika H Rodriguez, LMHCNPI 1609412261
Title
Owner
Phone
(845) 500-0372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2331 State Route 17K
Montgomery, NY 12549-1800

Mailing address

2331 State Route 17K
Montgomery, NY 12549-1800
Phone (845) 500-6375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260527002220 NY Part B Supplier - Clinic/Group Practice 1951871359 Receives reassigned benefits from 1 practitioner
Practice locations: Montgomery, NY

National Provider Directory

National Provider Directory

Locations

2331 State Route 17K
Montgomery, NY 12549
Phone (845) 500-6375

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1023974607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 STATE ROUTE 17K",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125491800",
            "telephone_number": "845-500-6375",
            "fax_number": "845-709-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 STATE ROUTE 17K",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125491800",
            "telephone_number": "845-500-6375",
            "fax_number": "845-709-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER WELL MENTAL HEALTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-500-0372",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.