Active NPI
Celine K Dolezel, LMHC
- Mental Health Counselor
- Albany, NY
National Provider Identifier
1295189496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 008534-1
- Practice address
- 435 New Karner Rd
Albany, NY 12205-3867 - Phone
- (518) 456-2060
- Fax
- (518) 456-2361
- NPI assigned
- Apr 14, 2016
- 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 | 008534-1 | NY | Primary |
Addresses
Primary practice location
435 New Karner Rd
Albany, NY 12205-3867
Mailing address
435 New Karner Rd
Albany, NY 12205-3867
Phone (518) 456-2060
Other names 1
- Celine Katz
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 |
|---|---|---|---|---|
| I20240723003940 | NY | Practitioner - Mental Health Counselor | 7618413949 | Practice locations: Albany, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008534-1 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Psychological Associates PLLC | Current | Accepting new patients | |
| Northeast Psychological Associates | Past | Accepting new patients |
Locations
435 New Karner Rd
Ste 204
Albany, NY 12205
Phone (518) 860-9297
435 New Karner Rd
Albany, NY 12205
Phone (518) 456-1622
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 and National Provider Directory roles.
-
- Psychologist
- Albany, NY
- NPI 1447817093
-
- Clinical Psychologist
- Albany, NY
- NPI 1275751133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1295189496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 NEW KARNER RD",
"city": "ALBANY",
"state": "NY",
"postal_code": "122053867",
"telephone_number": "518-456-2060",
"fax_number": "518-456-2361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 NEW KARNER RD",
"city": "ALBANY",
"state": "NY",
"postal_code": "122053867",
"telephone_number": "518-456-2060",
"fax_number": "518-456-2361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLEZEL",
"first_name": "CELINE",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-14",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "008534-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CELINE",
"last_name": "KATZ",
"credential": "LMHC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.