NPIMap

Organization Active NPI

Katie McLean Mental Health Counseling PLLC

Doing business as Ellie Mental Health

  • Mental Health Counselor
  • Latham, NY
National Provider Identifier
1619652039
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KATIE MCLEAN MENTAL HEALTH COUNSELING PLLC
Doing business as
Ellie Mental Health
Practice address
1182 Troy Schenectady Rd Ste 204
Latham, NY 12110-1000
Phone
(518) 400-5180
Fax
(518) 940-4420
NPI assigned
Jun 21, 2023
Last updated
Nov 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Mrs. Katie McLean, LMHC, CCATPNPI 1003132580
Title
Owner
Phone
(518) 253-2059

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1182 Troy Schenectady Rd Ste 204
Latham, NY 12110-1000

Mailing address

1182 Troy Schenectady Rd Ste 204
Latham, NY 12110-1000
Phone (518) 400-5180

Other practice location 1

939 Route 146 Ste 520
Clifton Park, NY 12065-3662
Phone (518) 676-1791

Other names 1

  • Ellie Mental Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240105002801 NY Part B Supplier - Clinic/Group Practice 7618328444 Receives reassigned benefits from 13 practitioners
Practice locations: Clifton Park, NY; Latham, NY; Glens Falls, NY

National Provider Directory

National Provider Directory

Locations

1971 Western Ave
#117
Albany, NY 12203

1182 Troy Schenectady Rd
Latham, NY 12110
Phone (518) 248-4600

1182 Troy Schenectady Rd
Ste 204
Latham, NY 12110
Phone (518) 320-7859

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1619652039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 TROY SCHENECTADY RD STE 204",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101000",
            "telephone_number": "518-400-5180",
            "fax_number": "518-940-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 TROY SCHENECTADY RD STE 204",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101000",
            "telephone_number": "518-400-5180",
            "fax_number": "518-940-4420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "939 Route 146 Ste 520",
            "address_purpose": "LOCATION",
            "city": "Clifton Park",
            "state": "NY",
            "postal_code": "120653662",
            "country_code": "US",
            "telephone_number": "518-676-1791",
            "fax_number": "518-620-1381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KATIE MCLEAN MENTAL HEALTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-253-2059",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC, CCATP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.