VISTA MENTAL HEALTH COUNSELING, PLLC (NPI# 1093238594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093238594 |
| Entity Type | Organization |
| Organization Name | VISTA MENTAL HEALTH COUNSELING, PLLC |
| Practice Address |
636 Plank Rd Clifton Park NY 12065 |
| Mailing Address |
636 Plank Rd Clifton Park NY 12065-2046 |
| Practice Telephone | (518) 290-7988 |
| Mailing Telephone | 5182907988 |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2018-06-26 |
| Authorized Official Name | MIGUEL E DIAZ (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Telephone | 5182907988 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
005534 | NY | Behavioral Health & Social Service Providers |
| Street Address |
636 PLANK RD |
| City | CLIFTON PARK |
| State | NY |
| Zip Code | 12065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356549463 | Erica M Black | Psychologist | 636 Plank Rd, Suite 107a, Clifton Park, NY 12065-2042 | 2007-07-10 |
| 1871191205 | Janay Campbell | Counselor | 636 Plank Rd, Clifton Park, NY 12065-2046 | 2020-10-16 |
| 1205086873 | Randy L Cale | Psychologist | 636 Plank Rd, Suite # 200, Clifton Park, NY 12065-2042 | 2008-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395392 | Farah Malek | Pathology | 51 Heritage Point Drvie, Clifton Park, NY 12065 | 2020-04-22 |
| 1679116115 | Mary Beth Bulger | Registered Nurse | Shenendehowa Central School, 970 Rt 146, Clifton Park, NY 12065 | 2019-10-28 |
| 1346801636 | Terri Anne Willman | Physician Assistant | 1783 Route 9 Suite 102, Clifton Park, NY 12065 | 2019-06-26 |
| 1437633732 | Abhishek Chopra | Pharmacist | 74 Squire Lane, Clifton Park, NY 12065 | 2018-09-21 |
| 1295213817 | Ella Kotsyuba | Pharmacist | 1022 Ny-146, Clifton Park, NY 12065 | 2018-08-06 |
| 1659865962 | Dorothy Lacombe Adult Healthcare Nurse Practitioner Pllc | Internal Medicine | 954 Rt 146, Suite 3, Clifton Park, NY 12065 | 2018-06-20 |
| 1245723907 | Catherine Marie Blaauboer I | Licensed Practical Nurse | 206 Alnut Drive, Clifton Park, NY 12065 | 2018-06-07 |
| 1326530627 | Melissa Morgan | Physician Assistant | 29 Mann Blvd, Halfmoon, NY 12065 | 2018-06-01 |
| 1982101465 | Janelle Stannard | Occupational Therapist | 23 Sitterly Road, Clifton Park, NY 12065 | 2018-04-10 |
| 1962903831 | Clifton Park Asc LLC | Clinic/Center | 16 Maxwell Dr., Clifton Park, NY 12065 | 2018-02-26 |
| Find all providers in zip 12065 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174056055 | Emily R Cicardi | Counselor | 19 Barney Rd, Clifton Park, NY 12065-5819 | 2017-04-06 |
| 1386191153 | Karen Symanowicz | Counselor | 1741 Route 9, Clifton Park, NY 12065 | 2016-09-08 |
| 1063838696 | Haven of Hope Counseling Associates, LLC | Counselor | 1471 Route 9, Suite 201, Clifton Park, NY 12065-6500 | 2014-03-06 |
| 1154684017 | Laurie Jean Coreno -reynolds | Counselor | 636 Plank Rd Ste 111, Clifton Park, NY 12065-2042 | 2012-06-16 |
| 1023303401 | Miguel E Diaz | Counselor | 636 Plank Rd Ste 107, Clifton Park, NY 12065-4885 | 2011-06-14 |
| 1649584848 | Jennifer Lynn Price | Counselor | 7 Corporate Dr., Clifton Park, NY 12065 | 2010-07-29 |
| 1194930610 | Gary Frank Kelly | Counselor | 634 Plank Rd Ste 206, Clifton Park, NY 12065-4887 | 2007-05-10 |
| 1902010440 | Anna W Leung | Counselor | 56 Clifton Country Rd Ste 100, Clifton Park, NY 12065-3994 | 2007-05-10 |
| 1205856416 | Anita Lynne Giovannucci | Counselor | 521 Vischer Ferry Rd, Clifton Park, NY 12065-3668 | 2006-07-20 |
| 1871191205 | Janay Campbell | Counselor | 636 Plank Rd, Clifton Park, NY 12065-2046 | 2020-10-16 |
| Find all providers in CLIFTON PARK | ||||
| City | CLIFTON PARK |
| Zip Code | 12065 |
Please comment or provide details below to improve the information on VISTA MENTAL HEALTH COUNSELING, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.