Individual provider Active NPI

Delia W Goldberg, LMHC

  • Mental Health Counselor
  • Monticello, NY
National Provider Identifier
1821244062
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
003266-1 Issued in NY
Practice address
64 Jefferson Street
Suite 1
Monticello, NY 12711
Phone
(845) 791-8800
Fax
(845) 791-7051
NPI assigned
Aug 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X NY
Mental Health Counselor 101YM0800X 003266-1 NY Primary

Addresses

Primary practice location

64 Jefferson Street
Suite 1
Monticello, NY 12711

Mailing address

64 Jefferson St.
Monticello, NY 12701
Phone (845) 791-8800

Other names 1

  • Ms. Delia Israel Former name

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
I20240408000537 NY Practitioner - Mental Health Counselor 0042684235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7 Robins Way
Woodridge, NY 12789-5323
Phone (917) 853-0211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003266-1NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dgoldberg Mental Health Counseling, PLLC Mental Health CurrentSince Feb 5, 2024 Accepting new patients
Synergy of Monticello Inc Mental Health PastSince Jun 16, 2011 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dgoldberg@dgoldbergmentalhealth.medentdirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1821244062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 JEFFERSON ST.",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "12701",
            "telephone_number": "845-791-8800",
            "fax_number": "845-791-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 JEFFERSON STREET",
            "address_2": "SUITE 1",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "12711",
            "telephone_number": "845-791-8800",
            "fax_number": "845-791-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "DELIA",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-07",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "003266-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DELIA",
            "last_name": "ISRAEL",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monticello, NY

Sources for this page

Verify at the official NPI Registry.