Organization Active NPI

Long Island NC Mental Health Counseling P.C.

  • Mental Health Counselor
  • Manhasset, NY
National Provider Identifier
1003496308
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LONG ISLAND NC MENTAL HEALTH COUNSELING P.C.
Practice address
1129 Northern Boulevard
Suite 404- #0830
Manhasset, NY 11030-1103
Phone
(516) 360-0147
NPI assigned
Apr 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Niccole Carrero, LMHC
Title
Owner
Phone
(516) 341-8924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1129 Northern Boulevard
Suite 404- #0830
Manhasset, NY 11030-1103

Mailing address

24520 Grand Central Pkwy Apt 5E
Bellerose, NY 11426-2711
Phone (516) 341-8924

Other names 1

  • Long Island Family and Trauma Counseling Services Doing business as

National Provider Directory

National Provider Directory

Locations

70 Glen Cove Rd
Ste 207
Roslyn Heights, NY 11577
Phone (516) 236-2342

NPI Registry JSON

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

{
    "created_epoch": "1618099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1003496308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24520 GRAND CENTRAL PKWY APT 5E",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114262711",
            "telephone_number": "516-341-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 NORTHERN BOULEVARD",
            "address_2": "SUITE 404- #0830",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301103",
            "telephone_number": "516-360-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND NC MENTAL HEALTH COUNSELING P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-11",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "CARRERO",
        "authorized_official_first_name": "NICCOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-341-8924",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Island Family and Trauma Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Long Island Family and Trauma Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.