NPIMap

Organization Active NPI

Ajs Mental Health Counseling, PLLC

  • Mental Health Counselor
  • Hudson, NY
National Provider Identifier
1508414905
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
AJS MENTAL HEALTH COUNSELING, PLLC
Practice address
430 East Allen St
Suite 3
Hudson, NY 12534-2423
Phone
(518) 945-8586
NPI assigned
Aug 28, 2019
Last updated
Apr 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Roberta L Nicholson
Title
Office Manager
Phone
(518) 610-8449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

430 East Allen St
Suite 3
Hudson, NY 12534-2423

Mailing address

6017 Marion Blvd
Valatie, NY 12184-9333
Phone (518) 610-8449

Other practice location 1

149 County Route 14
Hudson, NY 12534-4218
Phone (518) 947-9929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240523001165 NY Part B Supplier - Clinic/Group Practice 1557703444 Receives reassigned benefits from 7 practitioners
Practice locations: Hudson, NY

National Provider Directory

National Provider Directory

Locations

430 E Allen St
Ste 2
Hudson, NY 12534
Phone (518) 828-1122

436 Union St
Hudson, NY 12534

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1508414905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6017 MARION BLVD",
            "city": "VALATIE",
            "state": "NY",
            "postal_code": "121849333",
            "telephone_number": "518-610-8449",
            "fax_number": "518-610-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 EAST ALLEN ST",
            "address_2": "SUITE 3",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342423",
            "telephone_number": "518-945-8586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 County Route 14",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "NY",
            "postal_code": "125344218",
            "country_code": "US",
            "telephone_number": "518-947-9929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AJS MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "518-610-8449"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.