Healthcare Provider Details

I. General information

NPI: 1851014443
Provider Name (Legal Business Name): NORTHPOINTE INTEGRATIVE COUNSELING, PSYCHOTHERAPY, LCSW PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2022
Last Update Date: 09/20/2022
Certification Date: 09/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 CORPORATE WOODS BLVD STE 209
ALBANY NY
12211-2503
US

IV. Provider business mailing address

20 CORPORATE WOODS BLVD STE 209
ALBANY NY
12211-2503
US

V. Phone/Fax

Practice location:
  • Phone: 518-250-6193
  • Fax: 518-213-3013
Mailing address:
  • Phone: 518-250-6193
  • Fax: 518-213-3013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EMILY SMITH
Title or Position: OWNER
Credential: LCSW, BCD
Phone: 518-250-6193