Individual provider Active NPI

Lydia Kehoe, LMHC

  • Mental Health Counselor
  • Albany, NY
National Provider Identifier
1033817507
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P104804 Issued in NY
Practice address
8 Southwoods Blvd Ste 110
Albany, NY 12211-2508
Phone
(518) 225-9214
NPI assigned
Feb 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 015339 NY
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X P104804 NY Primary

Addresses

Primary practice location

8 Southwoods Blvd Ste 110
Albany, NY 12211-2508

Mailing address

1410 Curry Rd Apt 232
Rotterdam, NY 12306-4257
Phone (518) 225-9214

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
P104804NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Psychology, LMSW, PT, OT and SLP Services, PLLC CurrentSince Jan 13, 2025 Accepting new patients
Presence Sealy Counseling and Development Licensedclinicalservicespllc PastSince Dec 1, 2017 Accepting new patients

Locations

115 Fall St
Seneca Falls, NY 13148
Phone (315) 515-5183

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": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1033817507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 CURRY RD APT 232",
            "city": "ROTTERDAM",
            "state": "NY",
            "postal_code": "123064257",
            "telephone_number": "518-225-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SOUTHWOODS BLVD STE 110",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122112508",
            "telephone_number": "518-225-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHOE",
        "first_name": "LYDIA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "015339",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P104804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.