NPIMap

Organization Active NPI

Lutheran Pastoral Counseling Ministry Inc

Doing business as Lutheran Counseling Center

  • Community/Behavioral Health Agency
  • Mineola, NY
National Provider Identifier
1083759146
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LUTHERAN PASTORAL COUNSELING MINISTRY INC
Doing business as
Lutheran Counseling Center
Practice address
132 Jefferson Ave
Mineola, NY 11501-2712
Phone
(516) 741-0994
Fax
(516) 742-5396
NPI assigned
Feb 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Molly W. Blancke
Title
Executive Director
Phone
(516) 741-0994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

132 Jefferson Ave
Mineola, NY 11501-2712

Mailing address

132 Jefferson Ave
Mineola, NY 11501-2712

Other names 1

  • Lutheran Counseling Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200918000866 NY Part B Supplier - Clinic/Group Practice 0749608032 Receives reassigned benefits from 7 practitioners
Practice locations: Farmingdale, NY; Woodside, NY; Patchogue, NY; New York, NY; Mineola, NY; Dix Hills, NY; Brooklyn, NY; Bronxville, NY

National Provider Directory

National Provider Directory

Locations

172 White Plains Rd
Bronxville, NY 10708
Phone (516) 741-0994

7420 4th Ave
Brooklyn, NY 11209
Phone (516) 741-0994

20 Candlewood Path
Dix Hills, NY 11746
Phone (516) 673-6171

132 Jefferson Ave
Mineola, NY 11501
Phone (516) 741-0994

2504 Broadway
New York, NY 10025
Phone (631) 923-2262

179 E Main St
Patchogue, NY 11772
Phone (516) 741-0994

3357 58th St
Woodside, NY 11377
Phone (516) 741-0994

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083759146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 JEFFERSON AVE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012712",
            "fax_number": "516-742-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 JEFFERSON AVE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012712",
            "telephone_number": "516-741-0994",
            "fax_number": "516-742-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN PASTORAL COUNSELING MINISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLANCKE",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "516-741-0994",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lutheran Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.