Individual provider Active NPI

Donna Mary Andres, LMHC

  • Mental Health Counselor
  • Rhinebeck, NY
National Provider Identifier
1457966855
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010577 Issued in NY
Practice address
30 Oak St Apt 2
Rhinebeck, NY 12572-1303
Phone
(908) 938-3152
NPI assigned
Sep 11, 2020
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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 010577 NY Primary

Addresses

Primary practice location

30 Oak St Apt 2
Rhinebeck, NY 12572-1303

Mailing address

30 Oak St Apt 2
Rhinebeck, NY 12572-1303
Phone (908) 938-3152

Other identifiers 1

IdentifierTypeStateIssuer
010577OtherNYLMHC MENTAL HEALTH COUNSELOR LICENSE

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
I20240125004524 NY Practitioner - Mental Health Counselor 4880047802 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maverick Family Counseling LCSW PLLC CurrentSince Jan 14, 2024 Accepting new patients
Maverick Family Counseling Past Accepting new patients

Locations

404 Zena Rd
Woodstock, NY 12498
Phone (845) 679-5271

Organizations & group practices 2

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": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1457966855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 OAK ST APT 2",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721303",
            "telephone_number": "908-938-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 OAK ST APT 2",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721303",
            "telephone_number": "908-938-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRES",
        "first_name": "DONNA",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC MENTAL HEALTH COUNSELOR LICENSE",
            "identifier": "010577",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinebeck, NY

Sources for this page

Verify at the official NPI Registry.