Individual provider Active NPI

Elyse Gehring, LMHC

  • Mental Health Counselor
  • Mahopac, NY
National Provider Identifier
1639708456
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007434 Issued in NY
Practice address
4 Marina Dr Apt O2
Mahopac, NY 10541-1615
Phone
(716) 479-7516
NPI assigned
Apr 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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 007434 NY Primary

Addresses

Primary practice location

4 Marina Dr Apt O2
Mahopac, NY 10541-1615

Mailing address

4 Marina Dr Apt O2
Mahopac, NY 10541-1615

Other identifiers 1

IdentifierTypeStateIssuer
007434MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 716-479-7516

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
I20241028001227 NY Practitioner - Mental Health Counselor 2860925013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carmel Psychological Health PCGroup PAC ID 4385530351, 222 clinicians

Practice addresses (Care Compare)

667 Stoneleigh Ave
Suite 202
Carmel, NY 10512-2455
Phone (845) 279-5908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel Psychological Health, PC Mental Health CurrentSince Sep 22, 2024 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223

1940 Commerce St
Ste 309
Yorktown Heights, NY 10598
Phone (844) 468-5391

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1639708456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MARINA DR APT O2",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105411615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MARINA DR APT O2",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105411615",
            "telephone_number": "716-479-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEHRING",
        "first_name": "ELYSE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007434",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "716-479-7516",
            "affiliation": "N",
            "endpointDescription": "phone number",
            "address_1": "4 Marina Dr Apt O2",
            "city": "Mahopac",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105411615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mahopac, NY

Sources for this page

Verify at the official NPI Registry.