Individual provider Active NPI

Roseann M Falcone, L.M.H.C., C.A.S.A.C.

  • Mental Health Counselor
  • East Setauket, NY
National Provider Identifier
1053670976
Registry record updated May 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001213-1 Issued in NY
Practice address
96 Cove LN
East Setauket, NY 11733-4120
Phone
(631) 828-6984
NPI assigned
May 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 10730 NY
Mental Health Counselor 101YM0800X 001213-1 NY Primary

Addresses

Primary practice location

96 Cove LN
East Setauket, NY 11733-4120

Mailing address

96 Cove LN
East Setauket, NY 11733-4120
Phone (631) 828-6984

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
I20231227001981 NY Practitioner - Mental Health Counselor 5395195762 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10730NYMDAddiction (Substance Use Disorder) Counselor
001213NYMDAcupuncturist
001213-1NYMDAudiologist

Organizations & group practices 1

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": "1336780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336780800000",
    "number": "1053670976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 COVE LN",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117334120",
            "telephone_number": "631-828-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 COVE LN",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117334120",
            "telephone_number": "631-828-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCONE",
        "first_name": "ROSEANN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "L.M.H.C., C.A.S.A.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-12",
        "last_updated": "2012-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "10730",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001213-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.