Marcia Ertola, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

005256-1 Issued in NY

Practice address

19 Bruce Latourrette Rd
Walton, NY 13856-3334

Phone

(607) 865-8036

NPI assigned

Mar 18, 2018

Last updated

Mar 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521331200000",
    "number": "1053814855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BRUCE LATOURRETTE RD",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "138563334",
            "telephone_number": "607-865-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BRUCE LATOURRETTE RD",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "138563334",
            "telephone_number": "607-865-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERTOLA",
        "first_name": "MARCIA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-18",
        "last_updated": "2018-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005256-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean T Downin, OTR/L
• Paul Joseph Duprey, R.N.
• Darlene Dutko
• Thomas Francis Dwyer, L-MSW-R
• Douglas D Elston, L.C.S.W.-R
• Janice L Eskow, LCSW
• Jessica Nicole Essaadi
• Sibel Finn
• Patrick James Fitzpatrick
• Karen Holland Nicholson Forbes, LCSW-R

• Mental Health Counselor in Walton, NY
• Providers in Walton, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.