Individual provider Active NPI

Brenda Loraine Gausby, LMHC

  • Mental Health Counselor
  • Averill Park, NY
National Provider Identifier
1740803949
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010425 Issued in NY
Practice address
2130 State Route 43
Averill Park, NY 12018-3931
Phone
(151) 892-5030
NPI assigned
May 21, 2020
Last updated
Jul 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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 010425 NY Primary

Addresses

Primary practice location

2130 State Route 43
Averill Park, NY 12018-3931

Mailing address

2130 State Route 43
Averill Park, NY 12018-3931
Phone (151) 892-5030

Other practice location 1

650 Warren St
Albany, NY 12208-2998
Phone (518) 491-6469

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL cneer@capitalcounseling.org Direct
CONNECT URL brendagausby@cottage-counseling.com Direct

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

LicenseStateTypeSpecialty
010425NYMDNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brenda L. Gausby Mental Health Counselor PLLC Mental Health CurrentSince Jul 31, 2022 Accepting new patients
Family & Children's Service of the Capital Region Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1740803949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 STATE ROUTE 43",
            "city": "AVERILL PARK",
            "state": "NY",
            "postal_code": "120183931",
            "telephone_number": "151-892-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 STATE ROUTE 43",
            "city": "AVERILL PARK",
            "state": "NY",
            "postal_code": "120183931",
            "telephone_number": "151-892-5030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Warren St",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122082998",
            "country_code": "US",
            "telephone_number": "518-491-6469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUSBY",
        "first_name": "BRENDA",
        "middle_name": "LORAINE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cneer@capitalcounseling.org",
            "affiliation": "N",
            "endpointDescription": "cneer@capitalcounseling.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "650 Warren St",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122082998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "brendagausby@cottage-counseling.com",
            "affiliation": "N",
            "endpointDescription": "brendagausby@cottage-counseling.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2130 State Rt 43",
            "address_2": "Averill Park",
            "city": "Averill Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Averill Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.