Individual provider Active NPI

Michael Betts, LMHC

  • Mental Health Counselor
  • Sprakers, NY
National Provider Identifier
1275198525
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009952-01 Issued in NY
Practice address
891 State Highway 162
Sprakers, NY 12166-4503
Phone
(518) 898-7712
Fax
(518) 989-0870
NPI assigned
May 2, 2019
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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 009952-01 NY Primary

Addresses

Primary practice location

891 State Highway 162
Sprakers, NY 12166-4503

Mailing address

891 State Highway 162
Sprakers, NY 12166-4503
Phone (518) 898-7712

Other practice location 1

855 Route 146 Ste 107
Clifton Park, NY 12065-3890
Phone (518) 898-7712

Other identifiers 1

IdentifierTypeStateIssuer
07611470MedicaidNY

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
I20240315001608 NY Practitioner - Mental Health Counselor 2163868886 Practice locations: Sprakers, NY; Clifton Park, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009952-01NYMDMental Health Counselor
009952NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Owls Nest Mental Health Counseling, PLLC Mental Health CurrentSince Mar 24, 2025 Accepting new patients

Locations

855 Route 146
Ste 107
Clifton Park, NY 12065
Phone (518) 898-7712

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1275198525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 STATE HIGHWAY 162",
            "city": "SPRAKERS",
            "state": "NY",
            "postal_code": "121664503",
            "telephone_number": "518-898-7712",
            "fax_number": "518-989-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 STATE HIGHWAY 162",
            "city": "SPRAKERS",
            "state": "NY",
            "postal_code": "121664503",
            "telephone_number": "518-898-7712",
            "fax_number": "518-989-0870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 Route 146 Ste 107",
            "address_purpose": "LOCATION",
            "city": "Clifton Park",
            "state": "NY",
            "postal_code": "120653890",
            "country_code": "US",
            "telephone_number": "518-898-7712",
            "fax_number": "518-989-0870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETTS",
        "first_name": "MICHAEL",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-02",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009952-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07611470",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sprakers, NY

Sources for this page

Verify at the official NPI Registry.