Individual provider Active NPI

Amy C. Babineau, LMHC

  • Mental Health Counselor
  • Watertown, NY
National Provider Identifier
1043336159
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4546 Issued in MA
Practice address
120 Washington St
Suite 510
Watertown, NY 13601-3330
Phone
(315) 782-4483
Fax
(315) 785-9210
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4546 MA
Mental Health Counselor 101YM0800X 4546 MA Primary

Addresses

Primary practice location

120 Washington St
Suite 510
Watertown, NY 13601-3330

Mailing address

120 Washington St
Suite 510
Watertown, NY 13601-3330
Phone (315) 782-4483

Other identifiers 1

IdentifierTypeStateIssuer
4546OtherMAALLIED MENTAL HEALTH

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4546MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling Service of Nny, Inc. Past Accepting new patients
Family Counseling Service of Nny, Inc. Counselor Past Accepting new patients

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1043336159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WASHINGTON ST",
            "address_2": "SUITE 510",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013330",
            "telephone_number": "315-782-4483",
            "fax_number": "315-785-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WASHINGTON ST",
            "address_2": "SUITE 510",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013330",
            "telephone_number": "315-782-4483",
            "fax_number": "315-785-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABINEAU",
        "first_name": "AMY",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "4546",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIED MENTAL HEALTH",
            "identifier": "4546",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.