Individual provider Active NPI

Emily Gail Koklas, LMHC

  • Mental Health Counselor
  • Glenville, NY
National Provider Identifier
1891303137
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010118 Issued in NY
Practice address
451 Rudy Chase Dr Apt 1306
Glenville, NY 12302-7132
Phone
(845) 649-4134
NPI assigned
Jul 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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 010118 NY Primary

Addresses

Primary practice location

451 Rudy Chase Dr Apt 1306
Glenville, NY 12302-7132

Mailing address

451 Rudy Chase Dr Apt 1306
Glenville, NY 12302-7132
Phone (845) 649-4134

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ekoklas@aptihealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • 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
I20250401001232 NY Practitioner - Mental Health Counselor 5193248037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Support Services, Inc PastSince Aug 1, 2020 Accepting new patients
Rehabilitation Support Services, Inc PastSince Aug 1, 2020 Accepting new patients

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": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1891303137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 RUDY CHASE DR APT 1306",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123027132",
            "telephone_number": "845-649-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 RUDY CHASE DR APT 1306",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123027132",
            "telephone_number": "845-649-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKLAS",
        "first_name": "EMILY",
        "middle_name": "GAIL",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ekoklas@aptihealth.com",
            "affiliation": "N",
            "endpointDescription": "Secure Work Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "451 Rudy Chase Dr Apt 1306",
            "city": "Glenville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "123027132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glenville, NY

Sources for this page

Verify at the official NPI Registry.