Individual provider Active NPI

Andrew Stuart, LMHC

  • Mental Health Counselor
  • Queensbury, NY
National Provider Identifier
1558057828
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
013423 Issued in NY
Practice address
8 Baywood Dr Ste 104
Queensbury, NY 12804-5821
Phone
(518) 810-2298
Fax
(518) 480-3189
NPI assigned
Apr 11, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P110072 NY
Mental Health Counselor 101YM0800X 013423 NY Primary

Addresses

Primary practice location

8 Baywood Dr Ste 104
Queensbury, NY 12804-5821

Mailing address

8 Baywood Dr Ste 104
Queensbury, NY 12804-5821
Phone (518) 810-2298

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
I20241031001487 NY Practitioner - Mental Health Counselor 8325571151 Practice locations: Saratoga Springs, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P110072NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1558057828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BAYWOOD DR STE 104",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128045821",
            "telephone_number": "518-810-2298",
            "fax_number": "518-480-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BAYWOOD DR STE 104",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128045821",
            "telephone_number": "518-810-2298",
            "fax_number": "518-480-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "ANDREW",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P110072",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

Verify at the official NPI Registry.