Larissa M Rosa, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

007815-01 Issued in NY

Practice address

175 Orinoco Dr
Brightwaters, NY 11718-1323

Phone

(631) 450-2638

NPI assigned

Jan 24, 2023

Last updated

Jan 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sunshine Within Mental Health Counseling, PLLC

  • Community/Behavioral Health Agency
  • Brightwaters, NY
  • NPI 1023903606
  NPD Authorized official

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705190400000",
    "number": "1093421042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 LOWELL RD",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822219",
            "telephone_number": "631-834-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 ORINOCO DR",
            "city": "BRIGHTWATERS",
            "state": "NY",
            "postal_code": "117181323",
            "telephone_number": "631-450-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "LARISSA",
        "middle_name": "M",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2024-01-14",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007815-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physical Medicine & Rehabilitation of Long Island
• Brooke L Pitta
• Paulinder Singh Rai, DO, MPH
• Alexandria Renieris
• Wyneice Rochester, LPN
• Linda Ann Schiavone, LCSW-R
• Schwartz Gynecologic Oncology, PLLC (Island Gynecologic Oncology)
• Benjamin Michael Schwartz, MD
• Marianne Conrad Scifo, MS LSP CCC
• Melanie Simon, OTR/L

• Mental Health Counselor in Brightwaters, NY
• Providers in Brightwaters, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2024; 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.