Active NPI
Corinne Agnes Alba, LMHC, CASAC
- Mental Health Counselor
- Massapequa, NY
National Provider Identifier
1124282942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 75 Grand Ave
Massapequa, NY 11758-4905 - Phone
- (516) 885-1818
- NPI assigned
- Jul 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
75 Grand Ave
Massapequa, NY 11758-4905
Mailing address
4041 Bernice Rd
Seaford, NY 11783-1716
Phone (516) 885-1818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421798400000",
"number": "1124282942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4041 BERNICE RD",
"city": "SEAFORD",
"state": "NY",
"postal_code": "117831716",
"telephone_number": "516-885-1818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 GRAND AVE",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117584905",
"telephone_number": "516-885-1818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBA",
"first_name": "CORINNE",
"middle_name": "AGNES",
"name_prefix": "Mrs.",
"credential": "LMHC, CASAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-10",
"last_updated": "2015-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.