NPIMap

Individual provider Active NPI

Cary Erin Fosback, LMHC

  • Mental Health Counselor
  • Albany, NY
National Provider Identifier
1376213645
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009799 Issued in NY
Practice address
7 Wembley CT
Albany, NY 12205-3851
Phone
(518) 249-5700
Fax
(518) 942-2248
NPI assigned
Sep 17, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 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 009799 NY Primary

Addresses

Primary practice location

7 Wembley CT
Albany, NY 12205-3851

Mailing address

7 Wembley CT
Albany, NY 12205-3851
Phone (518) 249-5700

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Ketamine Medical Infusions PLLC CurrentSince Dec 17, 2023 Accepting new patients

Locations

7 Wembley Ct
Albany, NY 12205
Phone (518) 249-5700

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": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1376213645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WEMBLEY CT",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053851",
            "telephone_number": "518-249-5700",
            "fax_number": "518-942-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WEMBLEY CT",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053851",
            "telephone_number": "518-249-5700",
            "fax_number": "518-942-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSBACK",
        "first_name": "CARY",
        "middle_name": "ERIN",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-17",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.