Individual provider Active NPI

Amy Daugherty, LMHC

  • Mental Health Counselor
  • Saratoga Springs, NY
National Provider Identifier
1083267389
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
359 Ballston Ave
Saratoga Springs, NY 12866-4723
Phone
(518) 587-8008
Fax
(518) 587-8241
NPI assigned
Jul 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

359 Ballston Ave
Saratoga Springs, NY 12866-4723

Mailing address

359 Ballston Ave
Saratoga Springs, NY 12866-4723
Phone (518) 587-8008

Other names 1

  • Amy Santell Former name

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
I20240215004352 NY Practitioner - Mental Health Counselor 3476997636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga Center for the FamilyGroup PAC ID 0143256859, 3 clinicians

Practice addresses (Care Compare)

60 Tanglewood Dr
South Glens Falls, NY 12803-5444
Phone (518) 587-8008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Center for the Family Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

359 Ballston Ave
Saratoga Springs, NY 12866
Phone (518) 583-9262

60 Tanglewood Dr
South Glens Falls, NY 12803

76 Harrison Ave
South Glens Falls, NY 12803
Phone (518) 783-9048

300 Ballard Rd
Wilton, NY 12831
Phone (518) 587-0600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1083267389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 BALLSTON AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664723",
            "telephone_number": "518-587-8008",
            "fax_number": "518-587-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 BALLSTON AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664723",
            "telephone_number": "518-587-8008",
            "fax_number": "518-587-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "AMY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SANTELL",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.