Active NPI
Rachel Ame Lewis, LMHC
- Mental Health Counselor
- Gloversville, NY
National Provider Identifier
1922674159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11283
- Practice address
- 73 N Main St
Gloversville, NY 12078-3044 - Phone
- (518) 773-3531
- Fax
- (518) 773-9103
- NPI assigned
- May 28, 2021
- Last updated
- May 28, 2021
- 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 | 11283 | NY | Primary |
Addresses
Primary practice location
73 N Main St
Gloversville, NY 12078-3044
Mailing address
427 Guy Park Ave
Amsterdam, NY 12010-1064
Phone (518) 842-1900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 351639 | Medicaid | NY | |
| 11283 | Other | NY | LICENSE |
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 |
|---|---|---|---|
| 11283 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622160000000",
"number": "1922674159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 GUY PARK AVE",
"city": "AMSTERDAM",
"state": "NY",
"postal_code": "120101064",
"telephone_number": "518-842-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 N MAIN ST",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120783044",
"telephone_number": "518-773-3531",
"fax_number": "518-773-9103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "RACHEL",
"middle_name": "AME",
"name_prefix": "Miss",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-28",
"last_updated": "2021-05-28",
"certification_date": "2021-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "11283",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "351639",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "11283",
"state": "NY"
}
],
"endpoints": [],
"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 May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.