Individual provider Active NPI

Kelly Rozembersky, LMHC

  • Mental Health Counselor
  • Saratoga Springs, NY
National Provider Identifier
1780372813
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
013460 Issued in NY
Practice address
21 Whistler CT Unit 406
Saratoga Springs, NY 12866-8431
Phone
(201) 341-5647
NPI assigned
Apr 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7PC00861100 NJ
Mental Health Counselor 101YM0800X 013460 NY Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00361300 NJ

Addresses

Primary practice location

21 Whistler CT Unit 406
Saratoga Springs, NY 12866-8431

Mailing address

21 Whistler CT Unit 406
Saratoga Springs, NY 12866-8431

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
37LC00361300NJMDAddiction (Substance Use Disorder) Counselor
7PC00861100NJMDMental Health Counselor
013460NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Leaf Mental Health Counseling Services PLLC Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1780372813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WHISTLER CT UNIT 406",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128668431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WHISTLER CT UNIT 406",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128668431",
            "telephone_number": "201-341-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZEMBERSKY",
        "first_name": "KELLY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "7PC00861100",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013460",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00361300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.