Individual provider Active NPI

Stephanie Mason

  • Mental Health Counselor
  • Hudson Falls, NY
National Provider Identifier
1477912103
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007083-1 Issued in NY
Practice address
15 Boulevard St
Hudson Falls, NY 12839-1001
Phone
(518) 747-2994
Fax
(518) 747-2996
NPI assigned
Feb 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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 007083-1 NY Primary

Addresses

Primary practice location

15 Boulevard St
Hudson Falls, NY 12839-1001

Mailing address

15 Boulevard St
Hudson Falls, NY 12839-1001
Phone (518) 747-2994

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
I20240918002939 NY Practitioner - Mental Health Counselor 6800337767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adirondack Samaritan Counseling Center, IncGroup PAC ID 2466446117, 9 clinicians

Practice addresses (Care Compare)

15 Boulevard St
Hudson Falls, NY 12839-1001
Phone (518) 747-2994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007083-1NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Samaritan Counseling Center, Inc CurrentSince Jul 14, 2024 Accepting new patients

Locations

15 Boulevard St
Hudson Falls, NY 12839
Phone (518) 747-2994

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": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1477912103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BOULEVARD ST",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "128391001",
            "telephone_number": "518-747-2994",
            "fax_number": "518-747-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BOULEVARD ST",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "128391001",
            "telephone_number": "518-747-2994",
            "fax_number": "518-747-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007083-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson Falls, NY

Sources for this page

Verify at the official NPI Registry.