Individual provider Active NPI

Sal Fata, LMHC

  • Mental Health Counselor
  • Albany, NY
National Provider Identifier
1073121711
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P105966 Issued in NY
Practice address
685 Park Ave FL 1
Albany, NY 12208-2905
Phone
(914) 255-5625
NPI assigned
Jul 20, 2020
Last updated
Dec 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P105966 NY Primary
Social Worker 104100000X 012549 NY

Addresses

Primary practice location

685 Park Ave FL 1
Albany, NY 12208-2905

Mailing address

685 Park Ave FL 1
Albany, NY 12208-2905
Phone (914) 255-5625

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://sal-fata.clientsecure.me/?fbclid=IwAR0eKtGaZmdn0GrUDRPWKSgp29kXqdfnVlApd64k6OLQ3UYZygWXkfzPUoQ Sal Fata, LMHC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240219000393 NY Practitioner - Marriage and Family Therapist 3476997487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Westchester Medical Group, P.CGroup PAC ID 6406752963, 410 clinicians

Practice addresses (Care Compare)

73 Market St
Yonkers, NY 10710-7602
Phone (914) 682-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P105966NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Westchester Medical Group PC CurrentSince Jan 1, 2024 Accepting new patients
Westchester Medical Group, P.C. CurrentSince Jan 1, 2024 Accepting new patients
The Fortune Society PastSince Sep 5, 2021 Accepting new patients

Locations

3030 Westchester Ave
Purchase, NY 10577
Phone (914) 682-6435

800 Westchester Ave
Ste N715
Rye Brook, NY 10573
Phone (914) 607-5730

210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100

73 Market St
Yonkers, NY 10710
Phone (914) 848-8030

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1073121711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 PARK AVE FL 1",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122082905",
            "telephone_number": "914-255-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 PARK AVE FL 1",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122082905",
            "telephone_number": "914-255-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATA",
        "first_name": "SAL",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-20",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P105966",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "012549",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://sal-fata.clientsecure.me/?fbclid=IwAR0eKtGaZmdn0GrUDRPWKSgp29kXqdfnVlApd64k6OLQ3UYZygWXkfzPUoQ",
            "affiliation": "Y",
            "endpointDescription": "Website",
            "affiliationName": "Sal Fata, LMHC",
            "address_1": "685 Park Ave Fl 1",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122082905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.