Active NPI
Faith Eileen Palma, LMHC
- Mental Health Counselor
- Gloversville, NY
National Provider Identifier
1124514849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 008736
- Practice address
- 57 E Fulton St
Gloversville, NY 12078-3212 - Phone
- (518) 773-3531
- Fax
- (518) 773-9103
- NPI assigned
- Jul 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 30984 | NY | |
| Dance Therapist | 225600000X | 2040 | MD | |
| Mental Health Counselor | 101YM0800X | 008736 | NY | Primary |
Addresses
Primary practice location
57 E Fulton St
Gloversville, NY 12078-3212
Mailing address
120 Hamilton St
Saratoga Springs, NY 12866-4418
Phone (518) 683-1386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30984 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 008736 | NY | MD | Optometrist |
| 2040 | MD | MD | Dance Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1124514849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 HAMILTON ST",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128664418",
"telephone_number": "518-683-1386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 E FULTON ST",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120783212",
"telephone_number": "518-773-3531",
"fax_number": "518-773-9103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMA",
"first_name": "FAITH",
"middle_name": "EILEEN",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-05",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "30984",
"primary": false
},
{
"code": "225600000X",
"taxonomy_group": "",
"desc": "Dance Therapist",
"state": "MD",
"license": "2040",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "008736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gloversville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.