Individual provider Active NPI

Kayla Bain

  • Counselor
  • Watervliet, NY
National Provider Identifier
1588533566
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
016809 Issued in NY
Practice address
11 Western Ave
Watervliet, NY 12189-1638
Phone
(315) 530-7522
NPI assigned
Oct 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 016809 NY Primary

Addresses

Primary practice location

11 Western Ave
Watervliet, NY 12189-1638

Mailing address

11 Western Ave
Watervliet, NY 12189-1638

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
I20260211001718 NY Practitioner - Mental Health Counselor 7911486758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6 Alister Cir
East Northport, NY 11731-6402

99 Rochester Ave
East Atlantic Beach, NY 11561-1032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016809NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body and Soul Counseling LLC CurrentSince Jan 4, 2026 Accepting new patients
365 Mental Health Counseling PLLC CurrentSince Jan 4, 2026 Accepting new patients

Locations

333 W Commercial St
East Rochester, NY 14445
Phone (208) 421-0568

480 Broadway
Ste 330
Saratoga Springs, NY 12866
Phone (518) 469-9887

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": "1761782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1588533566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WESTERN AVE",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121891638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WESTERN AVE",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121891638",
            "telephone_number": "315-530-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIN",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "016809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watervliet, NY

Sources for this page

Verify at the official NPI Registry.