Individual provider Active NPI

Colleen Shelly Cushing, LMHC-D

  • Mental Health Counselor
  • Saratoga Springs, NY
National Provider Identifier
1962385567
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
015163 Issued in NY
Practice address
26F Congress St # 131
Saratoga Springs, NY 12866-4168
Phone
(518) 212-7163
NPI assigned
Jul 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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 015163 NY Primary

Addresses

Primary practice location

26F Congress St # 131
Saratoga Springs, NY 12866-4168

Mailing address

26F Congress St # 131
Saratoga Springs, NY 12866-4168
Phone (518) 212-7163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 22, 2025 through Aug 22, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
015163NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1962385567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26F CONGRESS ST # 131",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664168",
            "telephone_number": "518-212-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26F CONGRESS ST # 131",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664168",
            "telephone_number": "518-212-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSHING",
        "first_name": "COLLEEN",
        "middle_name": "SHELLY",
        "credential": "LMHC-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "015163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.