EXPERIENTIAL MENTAL HEALTH COUNSELING LLC (NPI# 1770061509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770061509 |
| Entity Type | Organization |
| Organization Name | EXPERIENTIAL MENTAL HEALTH COUNSELING LLC |
| Practice Address |
120 Defreest Dr Ste 220 Troy NY 12180-7608 |
| Practice Telephone | 5189458828 |
| Mailing Telephone | 5189458828 |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |
| Authorized Official Name | MR. GREGORY REID (DIRECTOR) |
| Authorized Official Telephone | 5189458828 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
008111 | NY | Behavioral Health & Social Service Providers |
| Street Address |
120 DEFREEST DR STE 220 |
| City | TROY |
| State | NY |
| Zip Code | 12180-7608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346722626 | Jessica Marie Baglione | Counselor | 120 Defreest Dr Ste 220, Troy, NY 12180-7608 | 2018-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528616232 | Gwendolyn Eve Guarino | Massage Therapist | Lux, 207 River St, Troy, NY 12180 | 2019-08-27 |
| 1568020857 | Shelby Mara Quintal | Counselor | 7 Collins Ave, Troy, NY 12180 | 2019-05-31 |
| 1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
| 1104354315 | Karen Lynm Vincent | Licensed Practical Nurse | 830 Hoosick Rd Apt 1, Troy, NY 12180 | 2017-06-01 |
| 1740728013 | Upstate Physician Services, PC | Specialist | 2001 5th Avenue, Suite 110, Troy, NY 12180 | 2017-02-07 |
| 1205373263 | Tsu Han Poh | Pharmacist | 204 Washington Street, Apt C1, Troy, NY 12180 | 2017-01-27 |
| 1053760546 | Linda Pierre | Religious Nonmedical Nursing Personnel | 1680 Tibbits Ave, Troy, NY 12180 | 2016-06-06 |
| 1518312925 | Matthew Pittelli | Student in an Organized Health Care Education/Training Program | 83 Lockrow Rd, Troy, NY 12180 | 2016-05-04 |
| 1780045765 | Tara Michelle Miller | Hearing Instrument Specialist | 2000 6th Avenue, Troy Towers, Bldg. B, 1st Floor, Troy, NY 12180 | 2016-03-17 |
| 1326410937 | Seton Health System, Inc. | Physician Assistant | 1401 Massachusetts Avenue, Troy Internal Medicine, Troy, NY 12180 | 2015-10-22 |
| Find all providers in zip 12180 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082210 | Stacey Smiley | Counselor | 144 Cedar Dr, Troy, AL 36079-4913 | 2020-08-07 |
| 1871137166 | Tyesha Durr | Counselor | 117 Green Dr, Troy, AL 36079-5701 | 2019-10-30 |
| 1598328130 | Starting Point Counseling | Counselor | 1305 S Brundidge St Ste G, Troy, AL 36081-3137 | 2019-04-18 |
| 1558827279 | Patricia Lynne Thaar-novak | Counselor | 2820 W Maple Rd Ste 128, Troy, MI 48084-7047 | 2019-02-19 |
| 1255803458 | Rosemary Carroll | Counselor | 5616 Patterson Dr, Troy, MI 48085-3924 | 2018-12-28 |
| 1164907754 | Patrick Eugene Hampton | Counselor | 82 County Road 5501, Troy, AL 36081-5906 | 2018-09-28 |
| 1336638758 | Kristin Dolph | Counselor | 305 Public Sq, Troy, OH 45373 | 2018-05-02 |
| 1881191336 | Shana R Goldman | Counselor | 1600 7th Ave Ste 3, Troy, NY 12180-3410 | 2018-04-11 |
| 1326556879 | Masoumeh Moradi | Counselor | 2820 W Maple Rd Ste 100, Troy, MI 48084-7064 | 2018-01-18 |
| 1184072977 | Chrissie Maciejewski | Counselor | 2118 Prescott Dr, Troy, MI 48083-2527 | 2016-06-02 |
| Find all providers in TROY | ||||
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| 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.