Individual provider Active NPI

Brynn Saltis, L.M.H.C.

  • Mental Health Counselor
  • Ravena, NY
National Provider Identifier
1124475553
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009718 Issued in NY
Practice address
249 Starr Rd.
Ravena, NY 12143
Phone
(518) 441-5934
NPI assigned
May 16, 2016
Last updated
Oct 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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 009718 NY Primary

Addresses

Primary practice location

249 Starr Rd.
Ravena, NY 12143

Mailing address

249 Starr Rd.
Ravena, NY 12143
Phone (518) 441-5934

Other practice location 1

23 Bradston St
Boston, MA 02118-2703
Phone (617) 318-6480

Other names 1

  • Ms. Brynn Feeney 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
I20240305000944 NY Practitioner - Mental Health Counselor 2062857675 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009718NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Parsons Child and Family Center CurrentSince Jan 23, 2024 Accepting new patients
Community Health Care, Inc. Past Accepting new patients
HCRC PastSince Apr 20, 2021 Accepting new patients

Locations

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

2025 US Route 9W
Ravena, NY 12143
Phone (518) 756-5200

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": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1124475553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 STARR RD.",
            "city": "RAVENA",
            "state": "NY",
            "postal_code": "12143",
            "telephone_number": "518-441-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 STARR RD.",
            "city": "RAVENA",
            "state": "NY",
            "postal_code": "12143",
            "telephone_number": "518-441-5934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Bradston St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182703",
            "country_code": "US",
            "telephone_number": "617-318-6480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALTIS",
        "first_name": "BRYNN",
        "name_prefix": "Mrs.",
        "credential": "L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYNN",
            "last_name": "FEENEY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ravena, NY

Sources for this page

Verify at the official NPI Registry.