Individual provider Active NPI

Gloria Yaneth Monge, LMHC

  • Mental Health Counselor
  • Carmel, NY
National Provider Identifier
1952884017
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
003073 Issued in NY
Practice address
21 Old Route 6
Carmel, NY 10512-2107
Phone
(845) 225-5202
NPI assigned
Sep 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 003073 NY Primary

Addresses

Primary practice location

21 Old Route 6
Carmel, NY 10512-2107

Mailing address

79 Glenridge Rd
Glenville, NY 12302-4523

Other practice location 1

3584 Jerome Ave
Bronx, NY 10467-1006
Phone (718) 653-1537

Other identifiers 1

IdentifierTypeStateIssuer
01420795MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240125002657 NY Practitioner - Mental Health Counselor 4486007457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arms Acres IncGroup PAC ID 8820980691, 5 clinicians

Practice addresses (Care Compare)

21 Old Route 6
Carmel, NY 10512-2107
Phone (845) 225-5202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003073NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arms Acres Inc CurrentSince Jan 1, 2024 Accepting new patients
Arms Acres Inc PastSince Jan 1, 2024 Accepting new patients

Locations

3584 Jerome Ave
Bronx, NY 10467
Phone (718) 231-4443

21 Old Route 6
Carmel, NY 10512
Phone (845) 225-5202

79 Glenridge Rd
Scotia, NY 12302
Phone (518) 952-8142

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1952884017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 GLENRIDGE RD",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123024523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 OLD ROUTE 6",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122107",
            "telephone_number": "845-225-5202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3584 Jerome Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104671006",
            "country_code": "US",
            "telephone_number": "718-653-1537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONGE",
        "first_name": "GLORIA",
        "middle_name": "YANETH",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "003073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01420795",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

Verify at the official NPI Registry.