Individual provider Active NPI

Ellen Frey-Comins, LMHC

  • Mental Health Counselor
  • Plattsburgh, NY
National Provider Identifier
1770996035
Registry record updated Nov 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
004878 Issued in NY
Practice address
22 US Oval Ste 202
Plattsburgh, NY 12903-5902
Phone
(518) 855-1200
NPI assigned
Jun 4, 2014
Last updated
Nov 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2021

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 004878 NY Primary

Addresses

Primary practice location

22 US Oval Ste 202
Plattsburgh, NY 12903-5902

Mailing address

22 US Oval Ste 202
Plattsburgh, NY 12903-5902
Phone (518) 855-1200

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
I20240307001354 NY Practitioner - Mental Health Counselor 7911343488 Practice locations: Plattsburgh, NY

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

22 US Oval
Suite 202
Plattsburgh, NY 12903-5902
Phone (518) 855-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004878NYMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637884800000",
    "number": "1770996035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 US OVAL STE 202",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129035902",
            "telephone_number": "518-855-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 US OVAL STE 202",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129035902",
            "telephone_number": "518-855-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY-COMINS",
        "first_name": "ELLEN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.