Individual provider Active NPI

Rachael Keramati, LMHC

  • Mental Health Counselor
  • Saratoga Springs, NY
National Provider Identifier
1235725011
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007333 Issued in NY
Practice address
100 West Ave
Saratoga Springs, NY 12866-6083
Phone
(518) 364-6694
NPI assigned
Dec 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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 007333 NY Primary

Addresses

Primary practice location

100 West Ave
Saratoga Springs, NY 12866-6083

Mailing address

8 White Oak Path
Ballston Spa, NY 12020-2641
Phone (518) 364-6694

Other practice location 1

135 South Broadway
Saratoga Springs, NY 12866
Phone (518) 587-8800 ext. 1240

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
I20240228000490 NY Practitioner - Mental Health Counselor 5597100727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1235725011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WHITE OAK PATH",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202641",
            "telephone_number": "518-364-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666083",
            "telephone_number": "518-364-6694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 South Broadway",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "12866",
            "country_code": "US",
            "telephone_number": "518-587-8800 x1240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERAMATI",
        "first_name": "RACHAEL",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.