NPIMap

Organization Active NPI

Columbia County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hudson, NY
National Provider Identifier
1689618977
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
6883100A Issued in NY
Legal business name
COLUMBIA COUNTY
Practice address
325 Columbia St
Hudson, NY 12534-1905
Phone
(518) 828-9446
Fax
(518) 828-9450
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

Name
Mr. Michael Cole, LCSW
Title
Director
Phone
(518) 828-9446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6883100A NY Primary

Addresses

Primary practice location

325 Columbia St
Hudson, NY 12534-1905

Mailing address

325 Columbia St
Hudson, NY 12534-1905
Phone (518) 828-9446

Other identifiers 2

IdentifierTypeStateIssuer
01334981MedicaidNY
00536503MedicaidNY

Other names 1

  • Columbia County Mental Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150305001961 NY Part B Supplier - Clinic/Group Practice 8022003409 Receives reassigned benefits from 21 practitioners
Practice locations: Hudson, NY

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1689618977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 COLUMBIA ST",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125341905",
            "telephone_number": "518-828-9446",
            "fax_number": "518-828-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 COLUMBIA ST",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125341905",
            "telephone_number": "518-828-9446",
            "fax_number": "518-828-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "518-828-9446",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "6883100A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01334981",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00536503",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia County Mental Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.