Rose Mental Health Counseling PC

Organization Active NPI Mental Health Counselor · Huntington, NY

NPI 1154098663 · NPPES record last updated Aug 24, 2021

Key facts

NPI
1154098663
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
Legal business name
ROSE MENTAL HEALTH COUNSELING PC
Practice address
124 Main St Ste 6a
Huntington, NY 11743-6922
Phone
(516) 712-0970
NPI assigned
Aug 24, 2021
Organization subpart
No

Authorized official

Name
Alison Diaz-Perez, LMHC
Title
Psychotherapist
Phone
(516) 712-0970

Practitioners 4

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240426000511 NY Part B Supplier - Clinic/Group Practice 1658711429 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington, NY

National Provider Directory

Locations

124 Main St
Ste 6A
Huntington, NY 11743
Phone (516) 399-0534

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YM0800X Yes

Addresses

Primary practice location

124 Main St Ste 6a
Huntington, NY 11743-6922

Mailing address

124 Main St Ste 6a
Huntington, NY 11743-6922

Other providers in Huntington, NY

All providers in Huntington, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.