Anne C Wandres, LCAT CASAC LMHC
Individual provider Active NPI Mental Health Counselor · Kingston, NY
NPI 1063576262 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1063576262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 002226 (NY)
- Practice address
- 239 Golden Hill Lane
Ucmh
Kingston, NY 12401 - Phone
- (845) 340-4155
- Fax
- (845) 340-4094
- NPI assigned
- Dec 21, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4642 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4642 | NY | |
| Mental Health Counselor | 101YM0800X | 002226 | NY | Yes |
Addresses
Primary practice location
239 Golden Hill Lane
Ucmh
Kingston, NY 12401
Mailing address
110 River Rd
New Paltz, NY 12561
Phone (845) 658-8230
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4642 | Other | NY | NYS DEPT ALCOHOL & SUBSTA |
| 2226 | Other | NY | NYS DEPT EDUCATION |
| 0763 | Other | NY | NYS DEPT EDUCATION |
Other providers in Kingston, NY
- Arnold J Walker
- Helena Walkowiak
- Jennifer Cora Walsh
- Peter J Walshe
- Gichel Walters
- Kira Ward
- Shawn R. Warner
- Glenn Warnock
- Samuel Washington
- Watson Hearing Aid Center, LLC
All providers in Kingston, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.