Active NPI
Gina Marie Angilletta, LMHC
- Mental Health Counselor
- Ballston Lake, NY
National Provider Identifier
1851759823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 006176
- Practice address
- 34 Miller Rd
Ballston Lake, NY 12019-1004 - Phone
- (518) 289-5555
- NPI assigned
- Feb 5, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 006176 | NY | Primary |
Addresses
Primary practice location
34 Miller Rd
Ballston Lake, NY 12019-1004
Mailing address
30E Picotte Dr
Albany, NY 12208-1760
Phone (518) 505-5673
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
| License | State | Type | Specialty |
|---|---|---|---|
| 006176 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454630400000",
"number": "1851759823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30E PICOTTE DR",
"city": "ALBANY",
"state": "NY",
"postal_code": "122081760",
"telephone_number": "518-505-5673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 MILLER RD",
"city": "BALLSTON LAKE",
"state": "NY",
"postal_code": "120191004",
"telephone_number": "518-289-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGILLETTA",
"first_name": "GINA",
"middle_name": "MARIE",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-05",
"last_updated": "2016-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "006176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ballston Lake, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.