Patricia Gottenberg, LMHC
Individual provider Active NPI Mental Health Counselor · Hudson, NY
NPI 1942968623 · NPPES record last updated Jul 3, 2023
Key facts
- NPI
- 1942968623
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 013674 (NY)
- Practice address
- 430 E Allen St
Hudson, NY 12534-2576 - Phone
- (518) 945-8584
- NPI assigned
- Nov 30, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ajs Mental Health Counseling PLLC
Practice addresses (Care Compare)
430 E Allen St
Hudson, NY 12534-2576
Phone (518) 610-8449
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241010002438 | NY | Practitioner - Mental Health Counselor | 3072045434 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ajs Mental Health Counseling, PLLC | Mental Health | Current |
Accepting new patients |
| Tanya D Mays MD PLLC | Past | Accepting new patients |
Locations
436 Union St
Hudson, NY 12534
Interoperability endpoints
- https://api.platform.athenahealth.com/9716/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 013674 | NY | Yes |
Addresses
Primary practice location
430 E Allen St
Hudson, NY 12534-2576
Mailing address
430 E Allen St
Hudson, NY 12534-2576
NPI Registry JSON
{
"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": []
}Other providers in Hudson, NY
- Brittany Gillis
- Jennifer Gnisci
- Olivia Goffredo
- Michelle Gong
- Christopher T Gorczynski
- Emily Adeline Grattan
- Lorraine Coley Gray
- Heidi Lauren Green
- Greenport Rescue Squad, Inc
- Jenna Gregory
All providers in Hudson, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.