Individual provider Active NPI

Berna Kayas

  • Mental Health Counselor
  • East Moriches, NY
National Provider Identifier
1043959596
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
003762 Issued in NY
Practice address
250 Montauk Hwy RM 203
East Moriches, NY 11940-1141
Phone
(631) 820-5470
NPI assigned
Jun 2, 2022
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 003762 NY Primary

Addresses

Primary practice location

250 Montauk Hwy RM 203
East Moriches, NY 11940-1141

Mailing address

250 Montauk Hwy RM 203
East Moriches, NY 11940-1141
Phone (631) 820-5470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116000105 NY Practitioner - Mental Health Counselor 9032561022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

950 S Oyster Bay Rd
Hicksville, NY 11801-3510
Phone (516) 822-6111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003762NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Nassau Guidance & Counseling Services, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

950 S Oyster Bay Rd
Hicksville, NY 11801
Phone (516) 822-4060

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1043959596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MONTAUK HWY RM 203",
            "city": "EAST MORICHES",
            "state": "NY",
            "postal_code": "119401141",
            "telephone_number": "631-820-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MONTAUK HWY RM 203",
            "city": "EAST MORICHES",
            "state": "NY",
            "postal_code": "119401141",
            "telephone_number": "631-820-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYAS",
        "first_name": "BERNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "003762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Moriches, NY

Sources for this page

Verify at the official NPI Registry.