Individual provider Active NPI

Carole A Praga, LMHC

  • Addiction (Substance Use Disorder) Counselor
  • Niskayuna, NY
National Provider Identifier
1437311263
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
9242 Issued in NY
Practice address
2310 Nott Street East
Suite 3
Niskayuna, NY 12309
Phone
(518) 374-6263
Fax
(518) 289-5225
NPI assigned
Jul 2, 2008
Last updated
Sep 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 9242 NY Primary

Addresses

Primary practice location

2310 Nott Street East
Suite 3
Niskayuna, NY 12309

Mailing address

5 Hemphill Place
Suite 121
Malta, NY 12020-4423
Phone (518) 289-5072

Other identifiers 1

IdentifierTypeStateIssuer
01420800MedicaidNY

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
I20231228001359 NY Order and Referring Only - Mental Health Counselor 8123478468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9242NYMDAddiction (Substance Use Disorder) Counselor
000664NYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Union Street Counseling Services, LLC CurrentSince Sep 10, 2023 Accepting new patients

Locations

5 Hemphill Pl
Ste 121
Malta, NY 12020
Phone (518) 289-5072

2310 Nott St E
Ste 3
Niskayuna, NY 12309
Phone (518) 374-6263

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1437311263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HEMPHILL PLACE",
            "address_2": "SUITE 121",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120204423",
            "telephone_number": "518-289-5072",
            "fax_number": "518-289-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 NOTT STREET EAST",
            "address_2": "SUITE 3",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "12309",
            "telephone_number": "518-374-6263",
            "fax_number": "518-289-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAGA",
        "first_name": "CAROLE",
        "middle_name": "A",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "9242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01420800",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niskayuna, NY

Sources for this page

Verify at the official NPI Registry.