Individual provider Active NPI

Brandy Ethel Vanearden, LMHC

  • Mental Health Counselor
  • Albany, NY
National Provider Identifier
1033623335
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007412-1 Issued in NY
Practice address
314 Central Ave
Albany, NY 12206-2522
Phone
(518) 545-6317
NPI assigned
Nov 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 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 007412-1 NY Primary

Addresses

Primary practice location

314 Central Ave
Albany, NY 12206-2522

Mailing address

331 Grand Ave
Saratoga Springs, NY 12866-5919
Phone (315) 271-0737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007412-01NYMDAcupuncturist
007412NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Support Services, Inc PastSince May 14, 2024 Accepting new patients

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": "1511308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1033623335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 GRAND AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665919",
            "telephone_number": "315-271-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122062522",
            "telephone_number": "518-545-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANEARDEN",
        "first_name": "BRANDY",
        "middle_name": "ETHEL",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-22",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007412-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.