Individual provider Active NPI

Christine E Martelly, LMHC

  • Mental Health Counselor
  • Albany, NY
National Provider Identifier
1609563592
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
015326 Issued in NY
Practice address
50 Beaver St Ste 301
Albany, NY 12207-1504
Phone
(518) 245-6272
NPI assigned
Apr 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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 015326 NY Primary

Addresses

Primary practice location

50 Beaver St Ste 301
Albany, NY 12207-1504

Mailing address

3 Downing SQ Apt B
Guilderland, NY 12084-9404
Phone (518) 275-8061

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
I20241206000616 NY Practitioner - Mental Health Counselor 3971039520 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clearwater Counseling Associates LCSW, PLLC CurrentSince Nov 27, 2024 Accepting new patients

Locations

50 Beaver St
Ste 301
Albany, NY 12207
Phone (518) 261-9038

Organizations & group practices 1

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": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1609563592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DOWNING SQ APT B",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "120849404",
            "telephone_number": "518-275-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BEAVER ST STE 301",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122071504",
            "telephone_number": "518-245-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTELLY",
        "first_name": "CHRISTINE",
        "middle_name": "E",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "015326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.