Active NPI
Monica Mapalo Mtonga-Anderson
- Mental Health Counselor
- Bay Shore, NY
National Provider Identifier
1124841788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P131980
- Practice address
- 160 Howells Rd Ste 27
Bay Shore, NY 11706-5320 - Phone
- (631) 831-7896
- NPI assigned
- Nov 4, 2024
- Sex
- Female
- Sole proprietor
- No
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 | P131980 | NY | Primary |
Addresses
Primary practice location
160 Howells Rd Ste 27
Bay Shore, NY 11706-5320
Mailing address
160 Howells Rd Ste 27
Bay Shore, NY 11706-5320
Phone (631) 954-2554
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P131980 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christina'S Couch Mental Health Counseling PC | Mental Health | Current | Accepting new patients |
Locations
160 Howells Rd
Ste 27
Bay Shore, NY 11706
Phone (631) 831-7896
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.
-
- Mental Health Counselor
- Bay Shore, NY
- NPI 1629963939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1124841788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 HOWELLS RD STE 27",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117065320",
"telephone_number": "631-954-2554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 HOWELLS RD STE 27",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117065320",
"telephone_number": "631-831-7896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MTONGA-ANDERSON",
"first_name": "MONICA",
"middle_name": "MAPALO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-04",
"last_updated": "2024-11-04",
"certification_date": "2024-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P131980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.