Individual provider Active NPI

Mariela J Abreu

  • Mental Health Counselor
  • Gloversville, NY
National Provider Identifier
1851024400
Registry record updated Dec 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
11 Broadway St
Gloversville, NY 12078-3968
Phone
(518) 725-4310
NPI assigned
Jul 1, 2022
Last updated
Dec 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2024

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 Primary
Psychologist 103T00000X

Addresses

Primary practice location

11 Broadway St
Gloversville, NY 12078-3968

Mailing address

303 W Montgomery St
Johnstown, NY 12095-2402
Phone (518) 986-4012

Other practice location 1

210 Church St
Saratoga Springs, NY 12866-1010
Phone (518) 580-0520

Other identifiers 1

IdentifierTypeStateIssuer
1265511224MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL no

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ecs Psychological Services PC Mental Health CurrentSince Jul 1, 2022 Accepting new patients
Ecs Wellness Psychology Mental Health CurrentSince Jul 1, 2022 Accepting new patients
The Family Counseling Center of Fulton County Inc Mental Health PastSince Dec 8, 2024 Accepting new patients

Locations

210 Church St
Saratoga Springs, NY 12866
Phone (518) 580-0520

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": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733011200000",
    "number": "1851024400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W MONTGOMERY ST",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120952402",
            "telephone_number": "518-986-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BROADWAY ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120783968",
            "telephone_number": "518-725-4310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Church St",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128661010",
            "country_code": "US",
            "telephone_number": "518-580-0520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABREU",
        "first_name": "MARIELA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2024-12-01",
        "certification_date": "2024-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265511224",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "no",
            "affiliation": "N",
            "address_1": "210 Church St",
            "city": "Saratoga Springs",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128661010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gloversville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2024; 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.