Individual provider Active NPI

Colleen Macneal, LMHC

  • Mental Health Counselor
  • Saratoga SPGS, NY
National Provider Identifier
1275943649
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
005464-1 Issued in NY
Practice address
One Roof Saratoga
58 Henry St
Saratoga SPGS, NY 12866-2803
Phone
(518) 581-3180
Fax
(518) 581-3182
NPI assigned
May 6, 2014
Last updated
Jul 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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 005464-1 NY Primary

Addresses

Primary practice location

One Roof Saratoga
58 Henry St
Saratoga SPGS, NY 12866-2803

Mailing address

10 Outlook Ave
Saratoga SPGS, NY 12866
Phone (518) 581-3180

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

LicenseStateTypeSpecialty
005464-1NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Stress Reduction Program Past Accepting new patients
Bader Family Chiropractic, PLLC Past Accepting new patients

Organizations & group practices 2

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": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1275943649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OUTLOOK AVE",
            "city": "SARATOGA SPGS",
            "state": "NY",
            "postal_code": "12866",
            "telephone_number": "518-581-3180",
            "fax_number": "518-581-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE ROOF SARATOGA",
            "address_2": "58 HENRY ST",
            "city": "SARATOGA SPGS",
            "state": "NY",
            "postal_code": "128662803",
            "telephone_number": "518-581-3180",
            "fax_number": "518-581-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACNEAL",
        "first_name": "COLLEEN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005464-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga SPGS, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.