Courteney Geniece Nelson

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

51139704 Issued in NY

Practice address

432 Western Ave
Albany, NY 12203-1400

Phone

(916) 779-9212

NPI assigned

Mar 25, 2024

Last updated

Jan 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blackage, LLC

  dba Blackage Optimal Wellness

  • Prevention Professional
  • New York, NY
  • NPI 1982461380

  Case Manager/Care Coordinator

  NPD

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1922858091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 TRAHAN ST",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775759582",
            "telephone_number": "916-779-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031400",
            "telephone_number": "916-779-9212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 New Scotland Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081715",
            "country_code": "US",
            "telephone_number": "916-779-9212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Thornton St",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122063244",
            "country_code": "US",
            "telephone_number": "916-779-9212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 St Josephs Ter",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122102513",
            "country_code": "US",
            "telephone_number": "916-779-9212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "COURTENEY GENIECE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "51139704",
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": "NY",
            "license": "51139704",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Louis Nelson, LMSW
• Annie Nelson
• Bradley Nelson
• Bruce Franklin Nelson, PH.D.
• Christi Ann Nelson, P.T.A.
• Jacob McLean Nelson, DO
• Jamel Nelson, LMHC
• Mark J Nelson, MD
• Nicole Nelson
• Elyse Nepa, MS.ED

• Psychiatry Physician in Albany, NY
• Providers in Albany, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.