Active NPI
Aylah Goodfriend
- Mental Health Counselor
- Albany, NY
National Provider Identifier
1063234060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 015286
- Practice address
- 401 New Karner Rd
Albany, NY 12205-3854 - Phone
- (518) 633-3317
- NPI assigned
- Oct 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 015286 | NY | Primary |
Addresses
Primary practice location
401 New Karner Rd
Albany, NY 12205-3854
Mailing address
6 Depew St
Auburn, NY 13021-4355
Other practice location 1
2507 James St
Syracuse, NY 13206-2895
Phone (315) 515-9599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 2, 2026 through Feb 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015286 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1063234060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 DEPEW ST",
"city": "AUBURN",
"state": "NY",
"postal_code": "130214355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 NEW KARNER RD",
"city": "ALBANY",
"state": "NY",
"postal_code": "122053854",
"telephone_number": "518-633-3317"
}
],
"practiceLocations": [
{
"address_1": "2507 James St",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132062895",
"country_code": "US",
"telephone_number": "315-515-9599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODFRIEND",
"first_name": "AYLAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-30",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "015286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.