Alyssa M Gau, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

011290-01 Issued in NY

Practice address

360 State Route 17M
Monroe, NY 10950-3443

Phone

(845) 547-0479

NPI assigned

Jun 6, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Sep 10, 2024 through Sep 10, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jessica C. Sullivan LCSW, PLLC

  • Clinical Social Worker
  • Monroe, NY
  • NPI 1811532385

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1255990057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 UNION ST",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125491324",
            "telephone_number": "845-775-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 STATE ROUTE 17M",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503443",
            "telephone_number": "845-547-0479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4252 Albany Post Rd",
            "address_purpose": "LOCATION",
            "city": "Hyde Park",
            "state": "NY",
            "postal_code": "125381766",
            "country_code": "US",
            "telephone_number": "845-233-5935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAU",
        "first_name": "ALYSSA",
        "middle_name": "M",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011290-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Kevin Gannon
• Tracy L Garay, LCSW
• Jaime Garber, D.P.M.
• Bianca Garcia, MASTER DEGREE
• Maribeth Garrity, M.S.ED.
• Hannah Gelernter
• Michael Genkin, D.P.M
• Genovese Drug Stores Inc
• Alyssa Gentile
• Genuine Dental PC

• Mental Health Counselor in Monroe, NY
• Providers in Monroe, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.