Individual provider Active NPI

Michael Pitagno, MA

  • Mental Health Counselor
  • Glens Falls, NY
National Provider Identifier
1194486209
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5 Warren St Ste 209
Glens Falls, NY 12801-4558
Phone
(518) 338-3117
NPI assigned
Jan 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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 NY Primary

Addresses

Primary practice location

5 Warren St Ste 209
Glens Falls, NY 12801-4558

Mailing address

5 Warren St Ste 209
Glens Falls, NY 12801-4558
Phone (518) 338-3117

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
I20240102001270 NY Order and Referring Only - Mental Health Counselor 1850741984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Leaf Mental Health Counseling Services PLLC Mental Health CurrentSince Mar 31, 2024 Accepting new patients

Locations

3 Warren St
Glens Falls, NY 12801
Phone (518) 338-3117

5 Warren St
Ste 209
Glens Falls, NY 12801
Phone (518) 338-3117

Organizations & group practices 1

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": "1641081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1194486209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WARREN ST STE 209",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014558",
            "telephone_number": "518-338-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WARREN ST STE 209",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014558",
            "telephone_number": "518-338-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITAGNO",
        "first_name": "MICHAEL",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-02",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.