Organization Active NPI

Saugerties Mental Health Counseling PLLC

  • Adult Mental Health Clinic/Center
  • Kingston, NY
National Provider Identifier
1104701226
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SAUGERTIES MENTAL HEALTH COUNSELING PLLC
Practice address
273 Hurley Ave
Kingston, NY 12401-2421
Phone
(845) 207-5451
Fax
(845) 244-5346
NPI assigned
Aug 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Authorized official

Name
Mr. Robert Michael Dietrich, LMHCNPI 1205382892
Title
Owner
Phone
(845) 207-5451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

273 Hurley Ave
Kingston, NY 12401-2421

Mailing address

PO Box 89
Malden on Hudson, NY 12453-0089
Phone (845) 207-5451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250915001523 NY Part B Supplier - Clinic/Group Practice 4981107968 Receives reassigned benefits from 1 practitioner
Practice locations: Kingston, NY

National Provider Directory

National Provider Directory

Locations

273 Hurley Ave
Kingston, NY 12401
Phone (845) 207-5451

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1104701226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 89",
            "city": "MALDEN ON HUDSON",
            "state": "NY",
            "postal_code": "124530089",
            "telephone_number": "845-207-5451",
            "fax_number": "845-244-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 HURLEY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012421",
            "telephone_number": "845-207-5451",
            "fax_number": "845-244-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAUGERTIES MENTAL HEALTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "DIETRICH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-207-5451",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.