Individual provider Active NPI

Vijay Ramanathan, LAC

  • Mental Health Counselor
  • Rockaway Park, NY
National Provider Identifier
1003721788
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00828700 Issued in NJ
Practice address
10302 Rockaway Beach Blvd # 1a
Rockaway Park, NY 11694-2796
Phone
(646) 769-0857
NPI assigned
Aug 17, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 37AC00828700 NJ Primary

Addresses

Primary practice location

10302 Rockaway Beach Blvd # 1a
Rockaway Park, NY 11694-2796

Mailing address

10302 Rockaway Beach Blvd # 1a
Rockaway Park, NY 11694-2796
Phone (646) 769-0857

Other names 1

  • Vegas K Jarrow Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1003721788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10302 ROCKAWAY BEACH BLVD # 1A",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942796",
            "telephone_number": "646-769-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10302 ROCKAWAY BEACH BLVD # 1A",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942796",
            "telephone_number": "646-769-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMANATHAN",
        "first_name": "VIJAY",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00828700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VEGAS",
            "last_name": "JARROW",
            "middle_name": "K",
            "credential": "LAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rockaway Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.