Individual provider Active NPI

Shelbi Maria Messick - Miller, LMHC

  • Mental Health Counselor
  • Saratoga Springs, NY
National Provider Identifier
1710593280
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010531-01 Issued in NY
Practice address
359 Ballston Ave
Saratoga Springs, NY 12866-4723
Phone
(518) 587-8008
NPI assigned
Sep 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 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 010531-01 NY Primary

Addresses

Primary practice location

359 Ballston Ave
Saratoga Springs, NY 12866-4723

Mailing address

359 Ballston Ave
Saratoga Springs, NY 12866-4723
Phone (518) 587-8008

Other names 1

  • Shelbi Maria Messick Professional name

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
I20240219000693 NY Practitioner - Mental Health Counselor 7113361130 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010531-01NYMDMental Health Counselor
010531NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Center for the Family Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

359 Ballston Ave
Saratoga Springs, NY 12866
Phone (518) 583-9262

14 Spring St
Schuylerville, NY 12871
Phone (518) 695-3255

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": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1710593280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 BALLSTON AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664723",
            "telephone_number": "518-587-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 BALLSTON AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664723",
            "telephone_number": "518-587-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSICK - MILLER",
        "first_name": "SHELBI",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010531-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBI",
            "last_name": "MESSICK",
            "middle_name": "MARIA",
            "credential": "LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.