Individual provider Active NPI

Erica J Mahoney, MHC-L

  • Mental Health Counselor
  • Waterford, NY
National Provider Identifier
1376042531
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P09412 Issued in NY
Practice address
37 Mallards LNDG S
Waterford, NY 12188-1070
Phone
(518) 560-0980
NPI assigned
Feb 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P09412 NY Primary

Addresses

Primary practice location

37 Mallards LNDG S
Waterford, NY 12188-1070

Mailing address

37 Mallards LNDG S
Waterford, NY 12188-1070
Phone (518) 560-0980

Other practice location 1

500 Central Ave
Albany, NY 12206-2213
Phone (518) 435-9931 ext. 5275

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erica@mirielletherapy.com Direct Mirielle Therapy Practice, PLLC

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
I20250919004074 NY Practitioner - Mental Health Counselor 2961906011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3 Corporate Dr
Suite 201
Halfmoon, NY 12065-8635

37 Mallards LNDG S
Waterford, NY 12188-1070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P09412NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Center for the Family Mental Health CurrentSince Jul 13, 2025 Accepting new patients

Locations

100 Chango Dr
Ballston Lake, NY 12019
Phone (518) 881-0520

970 Route 146
Clifton Park, NY 12065
Phone (518) 881-0331

359 Ballston Ave
Saratoga Springs, NY 12866
Phone (518) 583-9262

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": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1376042531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 MALLARDS LNDG S",
            "city": "WATERFORD",
            "state": "NY",
            "postal_code": "121881070",
            "telephone_number": "518-560-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 MALLARDS LNDG S",
            "city": "WATERFORD",
            "state": "NY",
            "postal_code": "121881070",
            "telephone_number": "518-560-0980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122062213",
            "country_code": "US",
            "telephone_number": "518-435-9931 x5275",
            "fax_number": "518-459-3715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "ERICA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MHC-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P09412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erica@mirielletherapy.com",
            "affiliation": "Y",
            "endpointDescription": "Mirielle Email",
            "affiliationName": "Mirielle Therapy Practice, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "37 Mallards Lndg S",
            "city": "Waterford",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121881070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterford, NY

Sources for this page

Verify at the official NPI Registry.