Individual provider Active NPI

Krystal Marie Gleason, LMHC

  • Mental Health Counselor
  • Glens Falls, NY
National Provider Identifier
1366997124
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007160 Issued in NY
Practice address
3 Warren St
Glens Falls, NY 12801-4583
Phone
(518) 338-3117
Fax
(518) 831-5944
NPI assigned
Aug 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X
Mental Health Counselor 101YM0800X 007160 NY Primary

Addresses

Primary practice location

3 Warren St
Glens Falls, NY 12801-4583

Mailing address

3 Warren St
Glens Falls, NY 12801-4583
Phone (518) 338-3117

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240524000195 NY Practitioner - Mental Health Counselor 9931541794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5 Warren St
Suite 209
Glens Falls, NY 12801-4558
Phone (518) 338-3117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007160NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Leaf Mental Health Counseling Services PLLC Mental Health CurrentSince Apr 30, 2024 Accepting new patients

Locations

3 Warren St
Glens Falls, NY 12801
Phone (518) 338-3117

5 Warren St
Ste 209
Glens Falls, NY 12801
Phone (518) 338-3117

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.

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1366997124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WARREN ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014583",
            "telephone_number": "518-338-3117",
            "fax_number": "518-831-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WARREN ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014583",
            "telephone_number": "518-338-3117",
            "fax_number": "518-831-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEASON",
        "first_name": "KRYSTAL",
        "middle_name": "MARIE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.