Active NPI
Shaneka Lakeisha Nixon
- Mental Health Counselor
- Garden City, NY
National Provider Identifier
1154883726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P116539
- Practice address
- 500 Old Country Rd Ste 316
Garden City, NY 11530-1944 - Phone
- (516) 279-5335
- Fax
- (718) 520-6460
- NPI assigned
- Apr 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P116539 | NY | Primary |
Addresses
Primary practice location
500 Old Country Rd Ste 316
Garden City, NY 11530-1944
Mailing address
500 Old Country Rd Ste 316
Garden City, NY 11530-1944
Phone (516) 279-5335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P116539 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Torres Mental Health Counseling Services, PLLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Brooklyn, NY
- NPI 1134719818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1154883726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 OLD COUNTRY RD STE 316",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115301944",
"telephone_number": "516-279-5335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 OLD COUNTRY RD STE 316",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115301944",
"telephone_number": "516-279-5335",
"fax_number": "718-520-6460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIXON",
"first_name": "SHANEKA",
"middle_name": "LAKEISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-03",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P116539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.