Individual provider Active NPI

Melanie D Gilmore, LMHC, MSED

  • Mental Health Counselor
  • Albany, NY
National Provider Identifier
1720235880
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001018 Issued in NY
Practice address
251 New Karner Rd
Albany, NY 12205-4627
Phone
(518) 821-5507
Fax
(518) 889-2196
NPI assigned
Aug 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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 001018 NY Primary

Addresses

Primary practice location

251 New Karner Rd
Albany, NY 12205-4627

Mailing address

1737 Union St Ste 162
Schenectady, NY 12309-6275
Phone (518) 821-5507

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
I20240103002683 NY Practitioner - Mental Health Counselor 1759731730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy LCSW Counseling Services PCGroup PAC ID 5193966166, 7 clinicians

Practice addresses (Care Compare)

6 Chelsea PL
Clifton Park, NY 12065-3216
Phone (844) 253-4229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy LCSW Counseling Services PC CurrentSince Jan 1, 2024 Accepting new patients
Mary E Vanalstyne Nurse Practitioner in Family Health PC PastSince May 1, 2022 Accepting new patients

Locations

6 Chelsea Pl
Ste 103
Clifton Park, NY 12065
Phone (518) 364-6632

6 Chelsea Pl
Clifton Park, NY 12065
Phone (518) 400-0125

Organizations & group practices 2

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": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1720235880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 UNION ST STE 162",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123096275",
            "telephone_number": "518-821-5507",
            "fax_number": "518-889-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 NEW KARNER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122054627",
            "telephone_number": "518-821-5507",
            "fax_number": "518-889-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "MELANIE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "LMHC, MSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.