Individual provider Active NPI

Dana Gabrielle Gerasimovich

  • Mental Health Counselor
  • Hicksville, NY
National Provider Identifier
1053260687
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
011494 Issued in NY
Practice address
12 W Cherry St
Hicksville, NY 11801-3802
Phone
(516) 822-3131
NPI assigned
Jan 26, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 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 Counselor 101YM0800X 011494 NY Primary

Addresses

Primary practice location

12 W Cherry St
Hicksville, NY 11801-3802

Mailing address

12 W Cherry St
Hicksville, NY 11801-3802
Phone (516) 822-3131

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
I20260415003354 NY Practitioner - Mental Health Counselor 1153897384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Coping Counselor- Balance Psychology Services P CGroup PAC ID 4688140809, 4 clinicians

Practice addresses (Care Compare)

12 W Cherry St
Hicksville, NY 11801-3802
Phone (516) 822-3131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Coping Counselor- Balance Psychology Services P C Mental Health CurrentSince Feb 9, 2026 Accepting new patients
Center for Coping Mental Health PastSince Feb 9, 2026 Accepting new patients

Locations

12 W Cherry St
Hicksville, NY 11801
Phone (516) 822-3131

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1769385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1053260687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W CHERRY ST",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013802",
            "telephone_number": "516-822-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W CHERRY ST",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013802",
            "telephone_number": "516-822-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERASIMOVICH",
        "first_name": "DANA",
        "middle_name": "GABRIELLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-26",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

Verify at the official NPI Registry.