Individual provider Active NPI

Christine Ann Nizza, LMHC

  • Mental Health Counselor
  • Lynbrook, NY
National Provider Identifier
1053923060
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010109 Issued in NY
Practice address
213 Hempstead Ave
Lynbrook, NY 11563-1656
Phone
(516) 256-9523
NPI assigned
Aug 20, 2020
Last updated
Aug 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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 010109 NY Primary

Addresses

Primary practice location

213 Hempstead Ave
Lynbrook, NY 11563-1656

Mailing address

107 N Terrace PL
Valley Stream, NY 11580-3717
Phone (516) 641-1128

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
I20240108004660 NY Practitioner - Mental Health Counselor 3375994940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
East Rockaway Neuropsychology, PCGroup PAC ID 0547509739, 16 clinicians

Practice addresses (Care Compare)

100 Merrick Rd
Rockville Centre, NY 11570-4800
Phone (516) 341-6215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010109NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
East Rockaway Neuropsychology, PC CurrentSince Jan 1, 2024 Accepting new patients

Locations

100 Merrick Rd
Ofc 510E
Rockville Ctr, NY 11570

100 Merrick Rd
Ste 510
Rockville Ctr, NY 11570
Phone (516) 341-6215

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, 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": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1053923060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N TERRACE PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803717",
            "telephone_number": "516-641-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 HEMPSTEAD AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631656",
            "telephone_number": "516-256-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIZZA",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

Verify at the official NPI Registry.