Active NPI
Michael Betts, LMHC
- Mental Health Counselor
- Sprakers, NY
National Provider Identifier
1275198525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 009952-01
- 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, 2023
- Sex
- Male
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07611470 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 009952-01 | NY | MD | Mental Health Counselor |
| 009952 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owls Nest Mental Health Counseling, PLLC | Mental Health | Current | 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.
-
- Mental Health Counselor
- Sprakers, NY
- NPI 1740081165
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.