Individual provider Active NPI

Elaine M Ramos, LCSW

  • Mental Health Counselor
  • New Paltz, NY
National Provider Identifier
1629133749
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R017120-1 Issued in NY
Practice address
2 Lorel LN
New Paltz, NY 12561-4314
Phone
(845) 255-8014
Fax
(845) 255-8014
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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 R017120-1 NY Primary

Addresses

Primary practice location

2 Lorel LN
New Paltz, NY 12561-4314

Mailing address

2 Lorel LN
New Paltz, NY 12561-4314
Phone (845) 255-8014

Other identifiers 3

IdentifierTypeStateIssuer
143464OtherNYID# VALUE OPTIONS
P3065620OtherNYPROV.# OXFORD
P306-5620OtherNYPROV.# MH NETWORK

Other names 1

  • Elaine M Blumenau Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R017120-1NYMDMental Health Counselor
017120NYMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1629133749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LOREL LN",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125614314",
            "telephone_number": "845-255-8014",
            "fax_number": "845-255-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LOREL LN",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125614314",
            "telephone_number": "845-255-8014",
            "fax_number": "845-255-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "ELAINE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R017120-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID# VALUE OPTIONS",
            "identifier": "143464",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROV.# OXFORD",
            "identifier": "P3065620",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROV.# MH NETWORK",
            "identifier": "P306-5620",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "BLUMENAU",
            "middle_name": "M",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Paltz, NY

Sources for this page

Verify at the official NPI Registry.