Active NPI
Donald Harold Hillyard, DOCTOR OF MINISTRY
- Mental Health Counselor
- Mineola, NY
National Provider Identifier
1134278336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 002426-1
- Practice address
- 132 Jefferson Ave
Mineola, NY 11501-2712 - Phone
- (516) 741-0994
- Fax
- (516) 742-5396
- NPI assigned
- Jan 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 002426-1 | NY | Primary |
Addresses
Primary practice location
132 Jefferson Ave
Mineola, NY 11501-2712
Mailing address
4 Howard CT
Carle Place, NY 11514-1107
Phone (516) 742-2018
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 |
|---|---|---|---|
| 002426-1 | NY | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Pastoral Counseling Ministry Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lutheran Counseling Center
- Community/Behavioral Health Agency
- Mineola, NY
- NPI 1083759146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1134278336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 HOWARD CT",
"city": "CARLE PLACE",
"state": "NY",
"postal_code": "115141107",
"telephone_number": "516-742-2018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 JEFFERSON AVE",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115012712",
"telephone_number": "516-741-0994",
"fax_number": "516-742-5396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLYARD",
"first_name": "DONALD",
"middle_name": "HAROLD",
"name_prefix": "Dr.",
"credential": "DOCTOR OF MINISTRY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "002426-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.