Individual provider Active NPI

Lisa Miller, LMHC

  • Mental Health Counselor
  • Albany, NY
National Provider Identifier
1518526847
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009402-1 Issued in NY
Practice address
5 Pine West PLZ Ste 508
Albany, NY 12205-5587
Phone
(518) 452-4232
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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 009402-1 NY Primary

Addresses

Primary practice location

5 Pine West PLZ Ste 508
Albany, NY 12205-5587

Mailing address

359 Ballston Ave
Saratoga SPGS, NY 12866-4723
Phone (518) 587-8008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • 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
I20240215004219 NY Practitioner - Mental Health Counselor 7517301773 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009402-1NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive and Nourish Counseling Center Current Accepting new patients
Saratoga Center for the Family Mental Health CurrentSince Jan 6, 2024 Accepting new patients

Locations

100 Chango Dr
Ballston Lake, NY 12019
Phone (518) 881-0520

1581 Crescent Rd
Clifton Park, NY 12065

970 Route 146
Clifton Park, NY 12065
Phone (518) 881-0331

35 Maxwell Dr
Clifton Park, NY 12065
Phone (518) 881-0580

359 Ballston Ave
Saratoga Springs, NY 12866
Phone (518) 583-9262

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1518526847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 BALLSTON AVE",
            "city": "SARATOGA SPGS",
            "state": "NY",
            "postal_code": "128664723",
            "telephone_number": "518-587-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PINE WEST PLZ STE 508",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055587",
            "telephone_number": "518-452-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LISA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009402-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.