Christine Colavito, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

004448 Issued in NY

Practice address

764 Route 25a Ste 7
East Setauket, NY 11733-1231

Phone

(631) 403-0784

NPI assigned

May 11, 2017

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

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.

• S.O.S. Mental Health Counseling PLLC

  • Mental Health Counselor
  • East Setauket, NY
  • NPI 1598527822
  NPD Authorized official

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1104353820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WATSON LN",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117332824",
            "telephone_number": "631-403-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 ROUTE 25A STE 7",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331231",
            "telephone_number": "631-403-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLAVITO",
        "first_name": "CHRISTINE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Coffin, MS ED
• Gail Cohan, M.D.
• Ashley Victoria Cohen, L.M.T.
• Peter F Cohn, M.D.
• William J Cohn, MD
• Joseph Carl Colavito, RN
• Christopher Dennis Collins, M.S., P.A.
• Colon and Rectal Surgeons of Long Island, P.C.
• Eugene Anthony Coman, MD
• Complete Health Medical P.C.

• Mental Health Counselor in East Setauket, NY
• Providers in East Setauket, 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 16, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.