Individual provider Active NPI

Nicole Lefurgy, LMHC

  • Mental Health Counselor
  • Copiague, NY
National Provider Identifier
1114482544
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
008954 Issued in NY
Practice address
1375 Akron St
Copiague, NY 11726-2931
Phone
(631) 836-2910
Fax
(631) 552-4241
NPI assigned
Feb 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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 008954 NY Primary

Addresses

Primary practice location

1375 Akron St
Copiague, NY 11726-2931

Mailing address

276 Pamlico Ave
Ronkonkoma, NY 11779-5120
Phone (631) 836-2910

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
I20200605001478 NY Practitioner - Mental Health Counselor 1951722586 Reassigns benefits to 1 organization
Practice locations: Holbrook, NY

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Institute for Rational Counseling Inc.Group PAC ID 1557252046, 2 clinicians

Practice addresses (Care Compare)

751 Coates Ave
Suite 3
Holbrook, NY 11741-6039
Phone (631) 567-7760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008954NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Rational Counseling Inc. CurrentSince Mar 8, 2026 Accepting new patients

Locations

751 Coates Ave
Ste 3
Holbrook, NY 11741
Phone (631) 567-7760

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1114482544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 PAMLICO AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117795120",
            "telephone_number": "631-836-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 AKRON ST",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117262931",
            "telephone_number": "631-836-2910",
            "fax_number": "631-552-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFURGY",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Copiague, NY

Sources for this page

Verify at the official NPI Registry.