Individual provider Active NPI

Ilene Locastro, LMHC

  • Mental Health Counselor
  • Flushing, NY
National Provider Identifier
1073651543
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0003678 Issued in NY
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

Updated by the provider on Jul 8, 2007

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
0003678NYMDMental Health Counselor
003678NYMDAcupuncturist

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

Verify at the official NPI Registry.