Michelle Dillon
Individual provider Active NPI Mental Health Counselor · Menands, NY
NPI 1083172910 · NPPES record last updated Mar 11, 2019
Key facts
- NPI
- 1083172910
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 570 N Pearl St
Menands, NY 12204-1659 - Phone
- (518) 475-6900
- NPI assigned
- Mar 11, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240304001632 | NY | Practitioner - Mental Health Counselor | 3577908292 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parsons Child and Family Center | Current |
Accepting new patients |
Locations
50 Lark St
Albany, NY 12210
Phone (518) 475-6619
60 Academy Rd
Albany, NY 12208
Phone (518) 292-5499
401 New Karner Rd
Colonie, NY 12205
Phone (518) 456-3614
2452 State Route 9
Ste 206
Malta, NY 12020
Phone (518) 242-6980
570 N Pearl St
Menands, NY 12204
Phone (518) 475-6800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
570 N Pearl St
Menands, NY 12204-1659
Mailing address
401 New Karner Rd
Albany, NY 12205-3854
Other providers in Menands, NY
- Donna M Coonley
- Maggie Cusprinie
- Heather Dacus
- Ashley Marie Derosa
- Kaitlin Ann Di Nardo
- Logan Dodd
- Jessica Edmonds
- Esquire Drug Inc.
- Rebecca M Fay
- Roman Flis
All providers in Menands, 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 Mar 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.