Individual provider Active NPI

Alexandra Gleason, LMFT

  • Marriage & Family Therapist
  • South Setauket, NY
National Provider Identifier
1154867877
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001311 Issued in NY
Practice address
15 Dave LN
South Setauket, NY 11720-1006
Phone
(516) 993-6678
NPI assigned
Jan 19, 2017
Last updated
Jan 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001311 NY Primary

Addresses

Primary practice location

15 Dave LN
South Setauket, NY 11720-1006

Mailing address

3771 Nesconset Hwy
Ste 214
South Setauket, NY 11720-1163
Phone (516) 993-6678

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
I20260220000109 NY Practitioner - Marriage and Family Therapist 8325529183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Hofstra North Shore - Lij School of Medicine, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Granny Rd
Farmingville, NY 11738-2879

1377 Motor Pkwy
Suite 102
Islandia, NY 11749-5249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001311NYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandra Gleason, LMFT, PLLC Marriage & Family Therapist CurrentSince Dec 9, 2019 Accepting new patients
CS Medical Associates, P.C. CurrentSince Feb 1, 2026 Accepting new patients
Westchester Marriage and Family Therapy Relationship Group PLLC Marriage & Family Therapist Current Accepting new patients
CS Medical Associates, P.C. Current Accepting new patients

Locations

100 Granny Rd
Ste 1
Farmingville, NY 11738
Phone (631) 666-1234

1377 Motor Pkwy
Ste 102
Islandia, NY 11749

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1154867877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3771 NESCONSET HWY",
            "address_2": "STE 214",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201163",
            "telephone_number": "516-993-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DAVE LN",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201006",
            "telephone_number": "516-993-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEASON",
        "first_name": "ALEXANDRA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Setauket, NY

Sources for this page

Verify at the official NPI Registry.