Individual provider Active NPI

Samuel G Cali, LMHC

  • Mental Health Counselor
  • Alfred Station, NY
National Provider Identifier
1891948121
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
003048 Issued in NY
Practice address
591 State Route 244
Alfred Station, NY 14803-0041
Phone
(607) 587-8390
Fax
(585) 335-9553
NPI assigned
Oct 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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 003048 NY Primary

Addresses

Primary practice location

591 State Route 244
Alfred Station, NY 14803-0041

Mailing address

PO Box 41
Alfred Station, NY 14803-0041
Phone (607) 587-8390

Other identifiers 1

IdentifierTypeStateIssuer
07639572MedicaidNY

Other names 1

  • Alfred Counseling Associate Professional name

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

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1891948121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41",
            "city": "ALFRED STATION",
            "state": "NY",
            "postal_code": "148030041",
            "telephone_number": "607-587-8390",
            "fax_number": "585-335-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 STATE ROUTE 244",
            "city": "ALFRED STATION",
            "state": "NY",
            "postal_code": "148030041",
            "telephone_number": "607-587-8390",
            "fax_number": "585-335-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALI",
        "first_name": "SAMUEL",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-30",
        "last_updated": "2024-08-05",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "003048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07639572",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALFRED COUNSELING",
            "last_name": "ASSOCIATE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Alfred Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.