Individual provider Active NPI

Oscar Pardo Jr., LMHC

  • Mental Health Counselor
  • Patchogue, NY
National Provider Identifier
1154701266
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
011496-01 Issued in NY
Practice address
235 E Main St
Patchogue, NY 11772-3105
Phone
(631) 388-7471
NPI assigned
Jun 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 011496-01 NY Primary

Addresses

Primary practice location

235 E Main St
Patchogue, NY 11772-3105

Mailing address

235 E Main St
Patchogue, NY 11772-3105
Phone (631) 388-7471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240522003609 NY Practitioner - Mental Health Counselor 5799127742 Reassigns benefits to 2 organizations
Practice locations: Patchogue, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011496-01NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sowingroots LLC Mental Health CurrentSince Jun 25, 2023 Accepting new patients
New Horizon Counseling Center Inc CurrentSince Jun 1, 2024 Accepting new patients

Locations

445 Oak St
Copiague, NY 11726
Phone (631) 257-5173

235 E Main St
Patchogue, NY 11772
Phone (631) 388-7471

10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202

50 W Hawthorne Ave
Valley Stream, NY 11580
Phone (516) 872-9698

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1154701266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E MAIN ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723105",
            "telephone_number": "631-388-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E MAIN ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723105",
            "telephone_number": "631-388-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDO",
        "first_name": "OSCAR",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011496-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

Verify at the official NPI Registry.