Individual provider Active NPI

Michele Galea Bertelle

  • Mental Health Counselor
  • Kingston, NY
National Provider Identifier
1750750980
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P99116 Issued in NY
Practice address
507 Broadway
YMCA - Astor Counseling Ft Satelite
Kingston, NY 12401-3919
Phone
(845) 338-3810
NPI assigned
Sep 17, 2015
Last updated
Sep 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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 P99116 NY Primary

Addresses

Primary practice location

507 Broadway
YMCA - Astor Counseling Ft Satelite
Kingston, NY 12401-3919

Mailing address

239 Golden Hill LN
Suite 100
Kingston, NY 12401-6441
Phone (845) 340-4105

Other names 1

  • Michele Teresa Galea Former name

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
P99116NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1750750980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 GOLDEN HILL LN",
            "address_2": "SUITE 100",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016441",
            "telephone_number": "845-340-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 BROADWAY",
            "address_2": "YMCA - ASTOR COUNSELING FT SATELITE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013919",
            "telephone_number": "845-338-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTELLE",
        "first_name": "MICHELE",
        "middle_name": "GALEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P99116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "GALEA",
            "middle_name": "TERESA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.