Organization Active NPI

Mandala Mental Health Counseling, PLLC

  • Mental Health Counselor
  • Plattsburgh, NY
National Provider Identifier
1164126561
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MANDALA MENTAL HEALTH COUNSELING, PLLC
Practice address
5 Smart Rd
Plattsburgh, NY 12901-7648
Phone
(917) 538-2531
NPI assigned
Mar 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Inga Karpenko, LMHCNPI 1710523477
Title
Owner
Phone
(917) 538-2531

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5 Smart Rd
Plattsburgh, NY 12901-7648

Mailing address

5 Smart Rd
Plattsburgh, NY 12901-7648
Phone (917) 538-2531

National Provider Directory

National Provider Directory

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": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1164126561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SMART RD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129017648",
            "telephone_number": "917-538-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SMART RD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129017648",
            "telephone_number": "917-538-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDALA MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "KARPENKO",
        "authorized_official_first_name": "INGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-538-2531",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.