Organization Active NPI

Bewell Mental Health Counseling, PLLC

  • Mental Health Counselor
  • Clifton Park, NY
National Provider Identifier
1922780204
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BEWELL MENTAL HEALTH COUNSELING, PLLC
Practice address
855 Route 146 Ste 109
Clifton Park, NY 12065-3890
Phone
(518) 288-7557
Fax
(518) 704-4744
NPI assigned
Aug 4, 2023
Last updated
Aug 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Jennifer Doesburg, LMHCNPI 1578887253
Title
Owner
Phone
(518) 288-7557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

855 Route 146 Ste 109
Clifton Park, NY 12065-3890

Mailing address

855 Route 146 Ste 109
Clifton Park, NY 12065-3890
Phone (518) 288-7557

National Provider Directory

National Provider Directory

Locations

855 Route 146
Ste 109
Clifton Park, NY 12065
Phone (518) 288-7557

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1922780204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 ROUTE 146 STE 109",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653890",
            "telephone_number": "518-288-7557",
            "fax_number": "518-704-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 ROUTE 146 STE 109",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653890",
            "telephone_number": "518-288-7557",
            "fax_number": "518-704-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEWELL MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "DOESBURG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-288-7557",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.