Experiential Mental Health Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

008111 Issued in NY

Legal business name

EXPERIENTIAL MENTAL HEALTH COUNSELING LLC

Practice address

120 Defreest Dr Ste 220
Troy, NY 12180-7608

Phone

(518) 945-8828

NPI assigned

Aug 2, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Reid, LMHC

Title

Director

Phone

(518) 945-8828

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brittany Law

  • Mental Health Counselor
  • Troy, NY
  • NPI 1326986175
  NPD (past)

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1770061509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DEFREEST DR STE 220",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121807608",
            "telephone_number": "518-945-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DEFREEST DR STE 220",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121807608",
            "telephone_number": "518-945-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENTIAL MENTAL HEALTH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "518-945-8828",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Mae Esposito, NP
• Yvonne Michael Etowa, MD
• Alysa Jesica Evans, NP
• Alyssa M Evans, LMHC
• Ashley Lynn Evans, RN
• Robert U Ezeifedi, MD
• Amaryllis A. Fabian, P.T.
• Carrie Ann Fabre
• Jessica M Falco, NP
• Joanne F Falco, MENTAL HEALTH COUNSE

• Mental Health Counselor in Troy, NY
• Providers in Troy, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.