Individual provider Active NPI

Stephanie Bydairk, LMHC

  • Mental Health Counselor
  • Troy, NY
National Provider Identifier
1174036149
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1600 7TH Ave Ste 3
Troy, NY 12180-3410
Phone
(518) 270-2800
Fax
(518) 270-2707
NPI assigned
Nov 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1600 7TH Ave Ste 3
Troy, NY 12180-3410

Mailing address

1600 7TH Ave
Troy, NY 12180-3410

Other practice location 1

58 Academy Rd
Albany, NY 12208-3103
Phone (518) 292-5499

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
I20240717000210 NY Practitioner - Mental Health Counselor 4688119464 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Parsons Child and Family Center CurrentSince Oct 17, 2025 Accepting new patients
Rensselaer County Bureau of Finance Mental Health CurrentSince Jul 8, 2024 Accepting new patients
Conifer Park, Inc. Past 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

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

1600 7th Ave
Ste 3
Troy, NY 12180
Phone (518) 270-2646

1600 7th Ave
Troy, NY 12180
Phone (518) 270-2800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1174036149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 7TH AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 7TH AVE STE 3",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803410",
            "telephone_number": "518-270-2800",
            "fax_number": "518-270-2707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "58 Academy Rd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083103",
            "country_code": "US",
            "telephone_number": "518-292-5499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYDAIRK",
        "first_name": "STEPHANIE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2024-11-01",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.