Corinne Ellen McCarthy, LMHC

Individual provider Active NPI Mental Health Counselor · Colonie, NY

NPI 1306133970 · NPPES record last updated Jul 5, 2011

Key facts

NPI
1306133970
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
100550360 (NY)
Practice address
21 Aviation Rd
Colonie, NY 12205-1141
Phone
(518) 438-9596
Fax
(518) 438-9598
NPI assigned
Jul 5, 2011
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
100550360NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Colonie Youth Center, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 100550360 NY Yes

Addresses

Primary practice location

21 Aviation Rd
Colonie, NY 12205-1141

Mailing address

21 Aviation Rd
Colonie, NY 12205-1141
Phone (518) 438-9596

Other providers in Colonie, NY

All providers in Colonie, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.