Amy Julia Daisak, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

011883 Issued in NY

Practice address

50 Beaver St Ste 301
Albany, NY 12207-1504

Phone

(518) 245-6272

NPI assigned

Apr 18, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clearwater Counseling Associates LCSW PLLCGroup PAC ID 4082900188, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Clearwater Counseling Associates LCSW, PLLC

  • Community/Behavioral Health Agency
  • Hyde Park, NY
  • NPI 1700236775
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1881337962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BEAVER ST STE 301",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122071504",
            "telephone_number": "518-245-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BEAVER ST STE 301",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122071504",
            "telephone_number": "518-245-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAISAK",
        "first_name": "AMY",
        "middle_name": "JULIA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amydaisak@clearwaterpllc.com",
            "affiliation": "N",
            "endpointDescription": "E-mail Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "50 Beaver St Ste 301",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122071504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Dahan, DMD
• Jeanne Ann Dahl, NP
• Michael E Dailey, MY
• Michael W. Dailey, M.D.
• Kimberly Kelly Daily, OTA
• Daisy Behavior Analysis Services PLLC
• Richard H Dal Col, MD
• Richard Dalaba, RPA-C
• Kathleen C Dalcol, RN
• Sally A Dalessandro, LMSW

• Mental Health Counselor in Albany, NY
• Providers in Albany, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.