Organization Active NPI

Mind Body Mental Health Counseling PPLC

  • Mental Health Counselor
  • West Sayville, NY
National Provider Identifier
1144024498
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MIND BODY MENTAL HEALTH COUNSELING PPLC
Doing business as
Mind Body Counseling
Practice address
93 Main St
West Sayville, NY 11796-1832
Phone
(631) 312-4175
NPI assigned
Apr 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Danielle Poore, LMHCNPI 1366118101
Title
Licensed Mental Health Counselor
Phone
(631) 312-4175

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

93 Main St
West Sayville, NY 11796-1832

Mailing address

2650 Sunrise Hwy Unit 1
East Islip, NY 11730-1000
Phone (631) 312-4175

Other names 1

  • Mind Body Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

2650 Sunrise Hwy
Unit 1
East Islip, NY 11730

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": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1144024498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 SUNRISE HWY UNIT 1",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117301000",
            "telephone_number": "631-312-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 MAIN ST",
            "city": "WEST SAYVILLE",
            "state": "NY",
            "postal_code": "117961832",
            "telephone_number": "631-312-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY MENTAL HEALTH COUNSELING PPLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "POORE",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "631-312-4175",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Body Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Sayville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.