Samruddhi Mahesh Bhosale, LMHC
Individual provider Active NPI Mental Health Counselor · Queensbury, NY
NPI 1376426569 · NPPES record last updated Jul 28, 2025
Key facts
- NPI
- 1376426569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- P136904 (NY)
- Practice address
- 25 Willowbrook Rd
Queensbury, NY 12804-5882 - Phone
- (518) 563-8000
- NPI assigned
- Jul 28, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P136904 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Services North, Inc. | Current |
Accepting new patients | |
| Behavioral Health Services North, Inc. | Current |
Accepting new patients |
Locations
22 US Oval
Ste 218
Plattsburgh, NY 12903
Phone (518) 534-9666
25 Willowbrook Rd
Queensbury, NY 12804
Phone (518) 793-9156
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P136904 | NY | Yes |
Addresses
Primary practice location
25 Willowbrook Rd
Queensbury, NY 12804-5882
Mailing address
22 US Oval Ste 218
Plattsburgh, NY 12903-5902
Phone (518) 563-8000
Other providers in Queensbury, NY
- Behavioral Health Services North, Inc.
- Bell and Callaghan Chiropractors, PC
- Janice Guay Benjamin
- Krista Marie Bennett
- Diane Marie Berry
- Mackenzie Ruth Biggers
- William Daniel Billington
- Beth Bishop
- Brandi Bishop
- Rachel Emma Bishop
All providers in Queensbury, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.