Individual provider Active NPI

Kayla Duesler, LMHC

  • Mental Health Counselor
  • Amsterdam, NY
National Provider Identifier
1104315712
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009703 Issued in NY
Practice address
865 Bulls Head Rd
Amsterdam, NY 12010-7601
Phone
(518) 774-7896
NPI assigned
May 9, 2018
Last updated
Jul 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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 009703 NY Primary

Addresses

Primary practice location

865 Bulls Head Rd
Amsterdam, NY 12010-7601

Mailing address

282 Florid Ave
Amsterdam, NY 12010
Phone (518) 774-8996

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
I20240227002301 NY Practitioner - Mental Health Counselor 3072958321 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009703NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kayla Duesler Mental Health Counseling, PLLC Mental Health CurrentSince Aug 15, 2021 Accepting new patients
Kayla Duesler Mental Health Counseling PLLC Single Specialty CurrentSince Jan 14, 2024 Accepting new patients

Organizations & group practices 2

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": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1104315712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 FLORID AVE",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "12010",
            "telephone_number": "518-774-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 BULLS HEAD RD",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107601",
            "telephone_number": "518-774-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUESLER",
        "first_name": "KAYLA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.