Active NPI
Andrea Wilkinson Ohle, LMFT
- Marriage & Family Therapist
- Babylon, NY
National Provider Identifier
1053643668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 06-000741
- Practice address
- 74 Fire Island Avenue
Suite 104
Babylon, NY 11702 - Phone
- (631) 258-1611
- NPI assigned
- Feb 6, 2010
- Last updated
- Feb 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 06-000741 | NY | Primary |
Addresses
Primary practice location
74 Fire Island Avenue
Suite 104
Babylon, NY 11702
Mailing address
74 Fire Island Avenue
Suite 104
Babylon, NY 11702
Phone (631) 258-1611
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06-000741 | NY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551225600000",
"number": "1053643668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 FIRE ISLAND AVENUE",
"address_2": "SUITE 104",
"city": "BABYLON",
"state": "NY",
"postal_code": "11702",
"telephone_number": "631-258-1611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 FIRE ISLAND AVENUE",
"address_2": "SUITE 104",
"city": "BABYLON",
"state": "NY",
"postal_code": "11702",
"telephone_number": "631-258-1611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHLE",
"first_name": "ANDREA",
"middle_name": "WILKINSON",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-06",
"last_updated": "2019-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "06-000741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.