Landing Meadows Mental Health Counseling PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LANDING MEADOWS MENTAL HEALTH COUNSELING PLLC

Practice address

900 Walt Whitman Road
Suite LL 4
Melville, NY 11747

Phone

(631) 350-2719

Fax

(631) 350-2725

NPI assigned

May 30, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Shaun Dieterich, LMHCNPI 1235400599

Title

Owner

Phone

(516) 408-0200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Shaun Dieterich, LMHC

  • Mental Health Counselor
  • Hauppauge, NY
  • NPI 1235400599
  NPD Authorized official

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559174400000",
    "number": "1154989671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CLINTON AVE APT 1A",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012848",
            "telephone_number": "516-408-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WALT WHITMAN ROAD",
            "address_2": "SUITE LL 4",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "11747",
            "telephone_number": "631-350-2719",
            "fax_number": "631-350-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDING MEADOWS MENTAL HEALTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A",
        "authorized_official_last_name": "DIETERICH",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-408-0200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHAUN DIETERICH LMHC",
            "identifier": "1235400599",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandria Lamarsh
• Brittany Lambruschi
• Tonian Sasha Lamont
• John Lampa
• Audrey Lacher Lancaster
• Melissa Landro
• Elena Marie Lardizzone, RN , BSN
• Larke Drugs Inc
• Miguel A Larreynaga Jr.
• Melissa A Larsen

• Mental Health Counselor in Melville, NY
• Providers in Melville, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.