Active NPI
Brendalee May Emerson, MASTERS
- Mental Health Counselor
- Potsdam, NY
National Provider Identifier
1518174689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 00396-1
- Practice address
- 231 Sweeney Rd
Potsdam, NY 13676 - Phone
- (315) 265-3398
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 00396-1 | NY | Primary |
Addresses
Primary practice location
231 Sweeney Rd
Potsdam, NY 13676
Mailing address
231 Sweeney Rd
Potsdam, NY 13676
Phone (315) 265-3398
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00396-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518174689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 SWEENEY RD",
"city": "POTSDAM",
"state": "NY",
"postal_code": "13676",
"telephone_number": "315-265-3398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 SWEENEY RD",
"city": "POTSDAM",
"state": "NY",
"postal_code": "13676",
"telephone_number": "315-265-3398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERSON",
"first_name": "BRENDALEE",
"middle_name": "MAY",
"name_prefix": "Mrs.",
"credential": "MASTERS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "00396-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Potsdam, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.