Adam O'Brien, LMHC CASAC

Individual provider Active NPI Mental Health Counselor · Chatham, NY

NPI 1689019168 · NPPES record last updated Nov 2, 2015

Key facts

NPI
1689019168
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
6448 (NY)
Practice address
160 Loomis Rd
Chatham, NY 12037-9790
Phone
(518) 573-2925
NPI assigned
May 9, 2013
Sex
Male
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
29103NYMDAddiction (Substance Use Disorder) Counselor
6448NYMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
Mutual Arising Mental Health Counseling, PLLC Current
since Jan 17, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6448 NY Yes
Addiction (Substance Use Disorder) Counselor 101YA0400X 29103 NY

Addresses

Primary practice location

160 Loomis Rd
Chatham, NY 12037-9790

Mailing address

160 Loomis Rd
Chatham, NY 12037-9790
Phone (518) 573-2925

Other providers in Chatham, NY

All providers in Chatham, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.