Individual provider Active NPI

Stephen Kahn, MA / EDM / LMHC

  • Mental Health Counselor
  • Poughkeepsie, NY
National Provider Identifier
1205140233
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
005025 Issued in NY
Practice address
160 Academy St
Suite 10G
Poughkeepsie, NY 12601-4504
Phone
(917) 494-2783
NPI assigned
Aug 2, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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 005025 NY Primary

Addresses

Primary practice location

160 Academy St
Suite 10G
Poughkeepsie, NY 12601-4504

Mailing address

160 Academy St
Suite 10G
Poughkeepsie, NY 12601-4504
Phone (917) 494-2783

Other identifiers 1

IdentifierTypeStateIssuer
005025OtherNYNEW YORK STATE OFFICE OF PROFESSIONS LICENSE NUMBER LMHC

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
I20241030001812 NY Practitioner - Mental Health Counselor 0042743981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carmel Psychological Health PCGroup PAC ID 4385530351, 222 clinicians

Practice addresses (Care Compare)

2510 Route 44
Suite F
Salt Point, NY 12578-8040
Phone (845) 768-3178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel Psychological Health, PC Mental Health CurrentSince Sep 23, 2024 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223

2510 Route 44
Ste F
Salt Point, NY 12578
Phone (844) 205-0773

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": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1205140233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ACADEMY ST",
            "address_2": "SUITE 10G",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014504",
            "telephone_number": "917-494-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ACADEMY ST",
            "address_2": "SUITE 10G",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014504",
            "telephone_number": "917-494-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "MA / EDM /  LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-02",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE OFFICE OF PROFESSIONS LICENSE NUMBER LMHC",
            "identifier": "005025",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.