Christine Walzak, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

012533 Issued in NY

Practice address

2100 Middle Country Rd Ste 203F
Centereach, NY 11720-3577

Phone

(631) 291-2385

NPI assigned

May 13, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cosmos Mental Health Counseling LLP

  • Mental Health Counselor
  • Centereach, NY
  • NPI 1972324499
  NPD

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1013766146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 BROADWAY # 8454",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122072922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MIDDLE COUNTRY RD STE 203F",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117203577",
            "telephone_number": "631-291-2385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1641 Route 112 Ste C",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NY",
            "postal_code": "117633663",
            "country_code": "US",
            "telephone_number": "631-291-2385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALZAK",
        "first_name": "CHRISTINE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2026-08-02",
        "certification_date": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Vitale, DPT
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2286)
• Wal-Mart Stores East, LP (Vision Center 30-2286)
• Waldbaum Inc (Waldbaums Pharmacy)
• Walgreen Co (Walgreens #09461)
• Iyana Washington
• Nanette Marie Wenisch
• Aimee Werner
• Elizabeth Kadee Wexler
• David Ross Wilkes, PH.D.

• Mental Health Counselor in Centereach, NY
• Providers in Centereach, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.