Organization Active NPI

Wandering Wellness Mental Health Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Canajoharie, NY
National Provider Identifier
1316790009
Registry record updated Apr 10, 2024
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
WANDERING WELLNESS MENTAL HEALTH COUNSELING PLLC
Practice address
35 Cliff St
Suite 2
Canajoharie, NY 13317-1124
Phone
(518) 217-2838
NPI assigned
Apr 10, 2024
Last updated
Apr 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Dorothea Maureen Vanvalkenburgh, LMHCNPI 1043969884
Title
LMHC
Phone
(518) 217-2838

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

35 Cliff St
Suite 2
Canajoharie, NY 13317-1124

Mailing address

35 Cliff St
Suite 2
Canajoharie, NY 13317-1124
Phone (518) 217-2838

National Provider Directory

National Provider Directory

Locations

35 Cliff St
Ste 2
Canajoharie, NY 13317
Phone (518) 217-2838

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1316790009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CLIFF ST",
            "address_2": "SUITE 2",
            "city": "CANAJOHARIE",
            "state": "NY",
            "postal_code": "133171124",
            "telephone_number": "518-217-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CLIFF ST",
            "address_2": "SUITE 2",
            "city": "CANAJOHARIE",
            "state": "NY",
            "postal_code": "133171124",
            "telephone_number": "518-217-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDERING WELLNESS MENTAL HEALTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "VANVALKENBURGH",
        "authorized_official_first_name": "DOROTHEA",
        "authorized_official_middle_name": "MAUREEN",
        "authorized_official_title_or_position": "LMHC",
        "authorized_official_telephone_number": "518-217-2838",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canajoharie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.