Katie Dwyer
Individual provider Active NPI Mental Health Counselor · Morrisonville, NY
NPI 1497461552 · NPPES record last updated Jan 23, 2023
Key facts
- NPI
- 1497461552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 2155 State Route 22B
Morrisonville, NY 12962-3417 - Phone
- (518) 563-8000
- NPI assigned
- Jan 23, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8 Broad St
Plattsburgh, NY 12901-3420
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 23, 2026 through Feb 23, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Country Behavioral Medicine PLLC | Current |
Accepting new patients |
Locations
8 Broad St
Plattsburgh, NY 12901
Phone (518) 563-8880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
2155 State Route 22B
Morrisonville, NY 12962-3417
Mailing address
2155 State Route 22B
Morrisonville, NY 12962-3417
Phone (518) 563-8000
Other providers in Morrisonville, NY
- Taryn Desroches
- Rebecca Dibble
- Dorsett-Felicelli
- Paige Duprey
- Kaylei Dustin
- William Allen Earle
- Alexandra Helen Emerson
- Christina Marie Emery
- Rebecca Lynn Eppler
- Leticia Ferby
All providers in Morrisonville, 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 Jan 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.