Lifted Heart Mental Health Counseling, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFTED HEART MENTAL HEALTH COUNSELING, PLLC

Practice address

820 State Route 9 Unit 4720
Queensbury, NY 12804-5425

Phone

(518) 480-7337

NPI assigned

Nov 4, 2021

Organization subpart

No

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

Authorized official

Name

Tara Booth, LMHCNPI 1366919615

Title

Therapist/Ownder

Phone

(518) 480-7337

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.

• Tara Angela Booth

  • Mental Health Counselor
  • Queensbury, NY
  • NPI 1366919615
  NPD Authorized official

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1790440709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 STATE ROUTE 9 UNIT 4720",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128045425",
            "telephone_number": "518-480-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 STATE ROUTE 9 UNIT 4720",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128045425",
            "telephone_number": "518-480-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFTED HEART MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "THERAPIST/OWNDER",
        "authorized_official_telephone_number": "518-480-7337",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.