Active NPI
Ilene Locastro, LMHC
- Mental Health Counselor
- Flushing, NY
National Provider Identifier
1073651543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0003678
- Practice address
- 4343 Bowne St
Flushing, NY 11355-3039 - Phone
- (718) 461-6393
- Fax
- (718) 463-8937
- NPI assigned
- Feb 4, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0003678 | NY | Primary |
Addresses
Primary practice location
4343 Bowne St
Flushing, NY 11355-3039
Mailing address
4343 Bowne St
Flushing, NY 11355-3039
Phone (718) 461-6393
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240509000200 | NY | Practitioner - Mental Health Counselor | 7517308489 | Practice locations: Levittown, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2783 Granz CT
East Meadow, NY 11554-4302
3601 Hempstead Tpke
Levittown, NY 11756-1315
Phone (516) 652-1376
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0003678 | NY | MD | Mental Health Counselor |
| 003678 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073651543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4343 BOWNE ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113553039",
"telephone_number": "718-461-6393",
"fax_number": "718-463-8937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4343 BOWNE ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113553039",
"telephone_number": "718-461-6393",
"fax_number": "718-463-8937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCASTRO",
"first_name": "ILENE",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "0003678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.