Active NPI
Angela Ertelt, LMHC.
- Mental Health Counselor
- Ballston Spa, NY
National Provider Identifier
1265667661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 003927-1
- Practice address
- 8 Woodthrush CT
Ballston Spa, NY 12020-2676 - Phone
- (518) 885-6696
- NPI assigned
- May 28, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 003927-1 | NY | Primary |
Addresses
Primary practice location
8 Woodthrush CT
Ballston Spa, NY 12020-2676
Mailing address
8 Woodthrush CT
Ballston Spa, NY 12020-2676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003927-1 | NY | MD | Intellectual & Developmental Disabilities Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243468800000",
"number": "1265667661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 WOODTHRUSH CT",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "120202676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 WOODTHRUSH CT",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "120202676",
"telephone_number": "518-885-6696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERTELT",
"first_name": "ANGELA",
"credential": "LMHC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-28",
"last_updated": "2009-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "003927-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ballston Spa, NY
- Early Start Evaluation Therapy and Educational Services PLLC
- Megan Joan Eaton, PA
- Caitlyn Edson, RD
- Ellis Hospital (Ellis Primary Care - Ballston Spa)
- Empire State Wheelchair Inc.
- Steven Esposito, D.M.D.
- Eugene K. Merecki, MD PC (Malta Family Medicine)
- Bonita Lynn Euston, RN
- Kristen Evans
- Ronald L Faigin, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.