Organization Active NPI

Sound Mind Mental Health Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clifton Park, NY
National Provider Identifier
1295517613
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SOUND MIND MENTAL HEALTH COUNSELING, PLLC
Practice address
1 Barney Rd Ste 112
Clifton Park, NY 12065-5843
Phone
(518) 280-1066
NPI assigned
Oct 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wendy Bruno, LMHCNPI 1356671770
Title
Clinician
Phone
(518) 280-1066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1 Barney Rd Ste 112
Clifton Park, NY 12065-5843

Mailing address

91 Fonda Rd
Cohoes, NY 12047-4803
Phone (518) 788-8022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240110003775 NY Part B Supplier - Clinic/Group Practice 0143671461 Receives reassigned benefits from 1 practitioner
Practice locations: Clifton Park, NY

National Provider Directory

National Provider Directory

Locations

1 Barney Rd
Ste 112
Clifton Park, NY 12065
Phone (518) 280-1066

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1295517613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 FONDA RD",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120474803",
            "telephone_number": "518-788-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARNEY RD STE 112",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120655843",
            "telephone_number": "518-280-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND MIND MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "BRUNO",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "518-280-1066",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.