Individual provider Active NPI

Kristine Menna, LCAT

  • Counselor
  • Bohemia, NY
National Provider Identifier
1073389508
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
002899 Issued in NY
Practice address
1650 Sycamore Ave Ste 39
Bohemia, NY 11716-1736
Phone
(631) 758-8290
NPI assigned
Nov 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 002899 NY
Counselor 101Y00000X 002899 NY Primary

Addresses

Primary practice location

1650 Sycamore Ave Ste 39
Bohemia, NY 11716-1736

Mailing address

161 Daniel Rd N Apt 2
North Massapequa, NY 11758-1919
Phone (631) 521-3182

Other practice location 1

161 Daniel Rd N Apt 2
North Massapequa, NY 11758-1919
Phone (631) 521-3182

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald Villano Mental Health Counselor, PLLC CurrentSince Mar 11, 2025 Accepting new patients

Locations

1650 Sycamore Ave
Ste 39
Bohemia, NY 11716

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": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1073389508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 DANIEL RD N APT 2",
            "city": "NORTH MASSAPEQUA",
            "state": "NY",
            "postal_code": "117581919",
            "telephone_number": "631-521-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SYCAMORE AVE STE 39",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117161736",
            "telephone_number": "631-758-8290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Daniel Rd N Apt 2",
            "address_purpose": "LOCATION",
            "city": "North Massapequa",
            "state": "NY",
            "postal_code": "117581919",
            "country_code": "US",
            "telephone_number": "631-521-3182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENNA",
        "first_name": "KRISTINE",
        "credential": "LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "002899",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "002899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bohemia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.