Individual provider Active NPI

Maegan Nicole Perkins, LMHC

  • Mental Health Counselor
  • Elizabethtown, NY
National Provider Identifier
1760977045
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010954-01 Issued in NY
Practice address
7513 Court Street
Elizabethtown, NY 12932-0008
Phone
(518) 873-3670
Fax
(518) 873-3777
NPI assigned
Jun 28, 2018
Last updated
Apr 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 010954-01 NY Primary
Mental Health Counselor 101YM0800X P11228 NY

Addresses

Primary practice location

7513 Court Street
Elizabethtown, NY 12932-0008

Mailing address

PO Box 8
Elizabethtown, NY 12932-0008
Phone (518) 873-3670

Other names 1

  • Maegan Nicole Lavalley Former 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
I20250428003441 NY Practitioner - Mental Health Counselor 3577089077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2155 State Route 22B
Morrisonville, NY 12962-3417
Phone (518) 563-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010954-01NYMDMental Health Counselor
P11228NYMDMental Health Counselor
010954NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Services North, Inc. CurrentSince Feb 16, 2025 Accepting new patients
Behavioral Health Services North, Inc. CurrentSince Feb 16, 2025 Accepting new patients
Essex County Treasurer Mental Health PastSince Apr 17, 2022 Accepting new patients

Locations

2155 State Route 22B
Morrisonville, NY 12962
Phone (518) 562-3847

22 US Oval
Ste 218
Plattsburgh, NY 12903
Phone (518) 563-8206

Organizations & group practices 3

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": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1760977045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "ELIZABETHTOWN",
            "state": "NY",
            "postal_code": "129320008",
            "telephone_number": "518-873-3670",
            "fax_number": "518-873-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7513 COURT STREET",
            "city": "ELIZABETHTOWN",
            "state": "NY",
            "postal_code": "129320008",
            "telephone_number": "518-873-3670",
            "fax_number": "518-873-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "MAEGAN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010954-01",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P11228",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAEGAN",
            "last_name": "LAVALLEY",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elizabethtown, NY

Sources for this page

Verify at the official NPI Registry.