Brian Decker, LMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

007942 Issued in NY

Practice address

114 Genesee St
Utica, NY 13502-3508

Phone

(845) 536-9113

NPI assigned

Jun 6, 2017

Last updated

Oct 29, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1053840843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 DAWES AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135021637",
            "telephone_number": "845-536-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135023508",
            "telephone_number": "845-536-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "BRIAN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-06",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "007942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336163963",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edmund John Decarlo, PHARMD
• Roland Decarol, DC
• Amanda Marie Decarolis, REGISTERED NURSE
• Alexa Rae Decarr
• Kayla Decarr, LCSW
• Sarah Decker, CASAC
• Carol Declue, LMSW, LCSW
• Rebecca A Deeley, M.D.
• Kristen M. Deep, FNP
• Deerfield Family Practice, PLLC

• Counselor in Utica, NY
• Providers in Utica, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.