Individual provider Active NPI

Natasha Johnson, LMHC

  • Mental Health Counselor
  • Albany, NY
National Provider Identifier
1124776729
Registry record updated Mar 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010215-01 Issued in NY
Practice address
5 Pine West PLZ Ste 508
Albany, NY 12205-5587
Phone
(845) 853-4617
NPI assigned
Mar 13, 2022
Last updated
Mar 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 010215-01 NY Primary

Addresses

Primary practice location

5 Pine West PLZ Ste 508
Albany, NY 12205-5587

Mailing address

73 Harris Ave
Albany, NY 12208-3018
Phone (845) 853-4617

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
I20240605002238 NY Practitioner - Mental Health Counselor 6103195615 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010215-01NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Parsons Child and Family Center Single Specialty CurrentSince Mar 26, 2024 Accepting new patients
Upstate Mental Health Counseling, P.C Mental Health CurrentSince Mar 20, 2022 Accepting new patients

Locations

60 Academy Rd
Albany, NY 12208
Phone (518) 292-5499

5 Pine West Plz
Ste 508
Albany, NY 12205
Phone (518) 421-2628

401 New Karner Rd
Colonie, NY 12205
Phone (518) 456-3614

2452 State Route 9
Ste 206
Malta, NY 12020
Phone (518) 242-6980

375 Bay Rd
Queensbury, NY 12804
Phone (518) 741-0043

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": "1647129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647129600000",
    "number": "1124776729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 HARRIS AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083018",
            "telephone_number": "845-853-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PINE WEST PLZ STE 508",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055587",
            "telephone_number": "845-853-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NATASHA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-13",
        "last_updated": "2022-03-13",
        "certification_date": "2022-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010215-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.