Individual provider Active NPI

Anastasia Przybyla

  • Mental Health Counselor
  • Syracuse, NY
National Provider Identifier
1780341958
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
014321 Issued in NY
Practice address
812 State Fair Blvd Ste 2
Syracuse, NY 13209-1312
Phone
(315) 221-3820
Fax
(855) 485-1189
NPI assigned
Nov 23, 2021
Last updated
Jan 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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 014321 NY Primary
Mental Health Counselor 101YM0800X TPMC7234 FL

Addresses

Primary practice location

812 State Fair Blvd Ste 2
Syracuse, NY 13209-1312

Mailing address

812 State Fair Blvd Ste 2
Syracuse, NY 13209-1312
Phone (315) 221-3820

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
I20240220001847 NY Practitioner - Mental Health Counselor 1254775091 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPMC7234FLMDMental Health Counselor
014321NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Citizen Advocates, Inc CurrentSince Jan 19, 2024 Accepting new patients
Citizen Advocates, Inc CurrentSince Jan 19, 2024 Accepting new patients
Bobbi L Petranchuk LCSW PLLC PastSince Nov 1, 2023 Accepting new patients

Locations

15 Francis St
Malone, NY 12953
Phone (518) 483-7801

31 6th St
Malone, NY 12953
Phone (518) 483-8980

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": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1780341958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 STATE FAIR BLVD STE 2",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132091312",
            "telephone_number": "315-221-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 STATE FAIR BLVD STE 2",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132091312",
            "telephone_number": "315-221-3820",
            "fax_number": "855-485-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZYBYLA",
        "first_name": "ANASTASIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "014321",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPMC7234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.