NPIMap

Organization Active NPI

The Long Island Mental Health Counseling Group, PC

  • Mental Health Counselor
  • Bethpage, NY
National Provider Identifier
1013441401
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
004224 Issued in NY
Legal business name
THE LONG ISLAND MENTAL HEALTH COUNSELING GROUP, PC
Practice address
1211 Stewart Ave
Suite 100
Bethpage, NY 11714-1601
Phone
(516) 428-0741
Fax
(516) 465-3998
NPI assigned
Apr 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Mrs. Kristen Herbert-Delaney, LMHC
Title
Owner
Phone
(516) 428-0741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 004224 NY Primary

Addresses

Primary practice location

1211 Stewart Ave
Suite 100
Bethpage, NY 11714-1601

Mailing address

1211 Stewart Ave
Suite 100
Bethpage, NY 11714-1601
Phone (516) 428-0741

National Provider Directory

National Provider Directory

Locations

1211 Stewart Ave
Ste 100
Bethpage, NY 11714
Phone (516) 465-3998

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1013441401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 STEWART AVE",
            "address_2": "SUITE 100",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117141601",
            "telephone_number": "516-428-0741",
            "fax_number": "516-465-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 STEWART AVE",
            "address_2": "SUITE 100",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117141601",
            "telephone_number": "516-428-0741",
            "fax_number": "516-465-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LONG ISLAND MENTAL HEALTH COUNSELING GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "HERBERT-DELANEY",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-428-0741",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.