Active NPI
Kenneth M. Bezio, LMHC
- Mental Health Counselor
- Plattsburgh, NY
National Provider Identifier
1497130793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 008536
- Practice address
- 22 US Oval Ste 206
Plattsburgh, NY 12903-5902 - Phone
- (518) 561-1767
- NPI assigned
- Jul 28, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P97907 | NY | |
| Mental Health Counselor | 101YM0800X | 008536 | NY | Primary |
Addresses
Primary practice location
22 US Oval Ste 206
Plattsburgh, NY 12903-5902
Mailing address
22 US Oval Ste 6
Plattsburgh, NY 12903-5913
Phone (518) 618-2102
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P97907 | NY | MD | Mental Health Counselor |
| 008536 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763510400000",
"number": "1497130793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 US OVAL STE 6",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129035913",
"telephone_number": "518-618-2102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 US OVAL STE 206",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129035902",
"telephone_number": "518-561-1767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEZIO",
"first_name": "KENNETH",
"middle_name": "M.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-28",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P97907",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "008536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.