Individual provider Active NPI

Nicole Dunson, LMHC

  • Mental Health Counselor
  • Ballston Spa, NY
National Provider Identifier
1508416793
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
210 Ballston Ave
Ballston Spa, NY 12020-3606
Phone
(518) 884-7200
NPI assigned
Sep 19, 2019
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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 NU Primary

Addresses

Primary practice location

210 Ballston Ave
Ballston Spa, NY 12020-3606

Mailing address

2452 State Route 9
Ste 206
Malta, NY 12020
Phone (518) 426-2801

Other names 1

  • Nicole Hansen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • 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
I20240410000751 NY Practitioner - Mental Health Counselor 0143668111 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011465NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Parsons Child and Family Center CurrentSince Feb 28, 2024 Accepting new patients
Parsons Child and Family Center PastSince May 26, 2024 Accepting new patients

Locations

60 Academy Rd
Albany, NY 12208
Phone (518) 653-7306

210 Ballston Ave
Ballston Spa, NY 12020
Phone (518) 242-6980

401 New Karner Rd
Colonie, NY 12205
Phone (518) 456-3614

2452 State Route 9
Ste 206
Malta, NY 12020
Phone (518) 292-5433

2452 Rte 9
Ste 206
Mechanicville, NY 12118

2452 Rte 9
Ste 206
Mechanicville, NY 12118
Phone (518) 292-5433

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": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1508416793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 STATE ROUTE 9",
            "address_2": "STE 206",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "12020",
            "telephone_number": "518-426-2801",
            "fax_number": "518-514-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BALLSTON AVE",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203606",
            "telephone_number": "518-884-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNSON",
        "first_name": "NICOLE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2024-05-21",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "HANSEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ballston Spa, NY

Sources for this page

Verify at the official NPI Registry.