Active NPI
Nicole Anzalone
- Mental Health Counselor
- Albany, NY
National Provider Identifier
1720961311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P137091
- Practice address
- 100 Great Oaks Blvd Ste 127
Albany, NY 12203-7903 - Phone
- (518) 859-7727
- NPI assigned
- Jul 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P137091 | NY | Primary |
Addresses
Primary practice location
100 Great Oaks Blvd Ste 127
Albany, NY 12203-7903
Mailing address
1060 Shave Rd
Schenectady, NY 12303-5526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P137091 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1720961311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 SHAVE RD",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123035526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GREAT OAKS BLVD STE 127",
"city": "ALBANY",
"state": "NY",
"postal_code": "122037903",
"telephone_number": "518-859-7727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANZALONE",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-30",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P137091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.