Hunter Champagne, LMHC – Mental Health Counselor

Key facts

NPI: 1972006443
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: 012752-01 (NY)
Practice address: 2280 Western Ave
Guilderland, NY 12084-9210
Phone: (518) 456-5056
Fax: (518) 456-6512
NPI assigned: Mar 12, 2018
Sex: Male
Sole proprietor: Yes

Organizations & group practices 3

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.

Karner Psychological Associates PC Psychologist · Guilderland, NY · NPI 1619913258

Medicare reassignment Care Compare group NPD NY
Citizen Advocates, Inc Mental Illness Community Based Residential Treatment Facility · Malone, NY · NPI 1477765733

NPD (past)
Citizen Advocates, Inc Substance Use Disorder Rehabilitation Clinic/Center · Malone, NY · NPI 1780619064

NPD (past)

Medicare Care Compare profile

Specialty: Mental Health Counselor
Education: Other, 2020
Medicare assignment: May accept Medicare assignment
Group practices: Karner Psychological Associates PC (10 clinicians)

Practice addresses (Care Compare)

2280 Western Ave
Suite 1
Guilderland, NY 12084-9206
Phone 5184565056497

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
I20260625001139	NY	Practitioner - Mental Health Counselor	8224501838	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
012752-01	NY	MD	Mental Health Counselor

Practice roles

Organization	Status	New patients
Karner Psychological Associates PC	Current since Jul 23, 2023	Accepting new patients
Citizen Advocates, Inc	Past since Aug 14, 2022	Accepting new patients
Citizen Advocates, Inc	Past since Nov 1, 2010	Accepting new patients

Locations

2280 Western Ave
Ste 1
Guilderland, NY 12084

2280 Western Ave
Guilderland, NY 12084
Phone (518) 456-5056

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	012752-01	NY	Yes

Addresses

Primary practice location

2280 Western Ave
Guilderland, NY 12084-9210

Mailing address

2280 Western Ave
Guilderland, NY 12084-9210
Phone (610) 825-9400

Other providers in Guilderland, NY

All providers in Guilderland, 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 24, 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.

Verify at the official NPI Registry.