Individual provider Active NPI

Melissa Ann Abraham, LCSW-R

  • Mental Health Counselor
  • New Windsor, NY
National Provider Identifier
1790932606
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
067148-1 Issued in NY
Practice address
557 Blooming Grove Tpke
New Windsor, NY 12553-7843
Phone
(845) 489-6312
NPI assigned
Aug 21, 2008
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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 067148-1 NY Primary

Addresses

Primary practice location

557 Blooming Grove Tpke
New Windsor, NY 12553-7843

Mailing address

9 Willow LN
Campbell Hall, NY 10916-3330
Phone (845) 489-6312

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
I20180109001344 NY Practitioner - Clinical Social Worker 0749549285 Practice locations: Wappingers Falls, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
067148-1NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Southern Dutchess Psychiatric Consultation PLLC PastSince Feb 27, 2014 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: melissaabraham@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1790932606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WILLOW LN",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109163330",
            "telephone_number": "845-489-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 BLOOMING GROVE TPKE",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125537843",
            "telephone_number": "845-489-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "067148-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

Verify at the official NPI Registry.