Organization Active NPI

Teresa Grella-Hillebrand, Licensed Marriage & Family Therapy P.C.

Doing business as Life Stages Counseling

  • Marriage & Family Therapist
  • Dix Hills, NY
National Provider Identifier
1144760505
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000155-1 Issued in NY
Legal business name
TERESA GRELLA-HILLEBRAND, LICENSED MARRIAGE & FAMILY THERAPY P.C.
Doing business as
Life Stages Counseling
Practice address
14 Candlewood Path
Dix Hills, NY 11746-5304
Phone
(631) 327-2508
NPI assigned
Mar 6, 2017
Last updated
Mar 6, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
LIFE STAGES COUNSELINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
Teresa Grella-Hillebrand, LMFTNPI 1780804989
Title
Marriage & Family Therapist
Phone
(631) 327-2508

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000155-1 NY Primary

Addresses

Primary practice location

14 Candlewood Path
Dix Hills, NY 11746-5304

Mailing address

14 Candlewood Path
Dix Hills, NY 11746-5304
Phone (631) 327-2508

Other names 1

  • Life Stages Counseling Doing business as

National Provider Directory

National Provider Directory
Part of
Teresa Grella-Hillebrand Licensed Marriage Family Therapy PC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1144760505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CANDLEWOOD PATH",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465304",
            "telephone_number": "631-327-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CANDLEWOOD PATH",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465304",
            "telephone_number": "631-327-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA GRELLA-HILLEBRAND, LICENSED MARRIAGE & FAMILY THERAPY P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFE STAGES COUNSELING",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "GRELLA-HILLEBRAND",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "MARRIAGE & FAMILY THERAPIST",
        "authorized_official_telephone_number": "631-327-2508",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000155-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Stages Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dix Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.