Jennifer Anne Doesburg, M.S., L.M.H.C.
Individual provider Active NPI Professional Counselor · Cohoes, NY
NPI 1578887253 · NPPES record last updated Mar 24, 2010
Key facts
- NPI
- 1578887253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 001562-1 (NY)
- Practice address
- 405 Viliet Blvd.
Cohoes, NY 12047 - Phone
- (518) 237-4263
- Fax
- (518) 238-1036
- NPI assigned
- Mar 24, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001562-1 | NY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bewell Mental Health Counseling, PLLC | Current | Accepting new patients | |
| Counseling Care and Services Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 001562-1 | NY | Yes |
Addresses
Primary practice location
405 Viliet Blvd.
Cohoes, NY 12047
Mailing address
1 Arden Rd
Scotia, NY 12302
Phone (518) 374-1224
Other names
- Mrs. Jennifer Anne Carney
Other providers in Cohoes, NY
- Julie Ann Debortoli
- Angel Marie Derepentigny-Pecak
- Anthony Derrico Sr.
- Colleen Ann Dillon
- Doc Z Family Practice PC
- Deena M Dominy
- Chelsea Lyn Donnelly
- Tara Mae Dutcher
- Empire NP Psychiatric Care, PLLC
- Bernardo S. Evangelista
All providers in Cohoes, NY · Professional Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.