Patricia Gottenberg, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

013674 Issued in NY

Practice address

430 E Allen St
Hudson, NY 12534-2576

Phone

(518) 945-8584

NPI assigned

Nov 30, 2021

Last updated

Jul 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ajs Mental Health Counseling PLLCGroup PAC ID 1557703444, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9716/brand/1/csg/1/fhir/r4

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.

• Ajs Mental Health Counseling, PLLC

  • Mental Health Counselor
  • Hudson, NY
  • NPI 1508414905
  Medicare reassignment Care Compare group NPD
• Tanya D Mays MD PLLC

  • Obstetrics & Gynecology Physician
  • Hudson, NY
  • NPI 1891199196
  NPD (past)

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1942968623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E ALLEN ST",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E ALLEN ST",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342576",
            "telephone_number": "518-945-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTENBERG",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Gillis
• Jennifer Gnisci, MS, LAC.
• Olivia Goffredo, PA
• Michelle Gong, OD
• Christopher T Gorczynski, M.D.
• Emily Adeline Grattan, DNP, FNP
• Lorraine Coley Gray, LMFT
• Heidi Lauren Green, MSPT
• Greenport Rescue Squad, Inc
• Jenna Gregory, LMSW

• Mental Health Counselor in Hudson, NY
• Providers in Hudson, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.