Organization Active NPI

Live Love Loud Mental Health Counseling

  • Mental Health Counselor
  • Melville, NY
National Provider Identifier
1124744206
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIVE LOVE LOUD MENTAL HEALTH COUNSELING
Practice address
68 S Service Rd Ste 100
Melville, NY 11747-2350
Phone
(516) 987-5122
Fax
(516) 269-7788
NPI assigned
Oct 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Stephanie NicolasNPI 1194173351
Title
Ceo
Phone
(516) 987-5122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

68 S Service Rd Ste 100
Melville, NY 11747-2350

Mailing address

68 S Service Rd Ste 100
Melville, NY 11747-2350
Phone (516) 987-5122

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1124744206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 S SERVICE RD STE 100",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472350",
            "telephone_number": "516-987-5122",
            "fax_number": "516-269-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 S SERVICE RD STE 100",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472350",
            "telephone_number": "516-987-5122",
            "fax_number": "516-269-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE LOVE LOUD MENTAL HEALTH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "NICOLAS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-987-5122"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.