Individual provider Active NPI

Monique Barragan, LMHC

  • Mental Health Counselor
  • Roslyn Heights, NY
National Provider Identifier
1164170304
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
011835 Issued in NY
Practice address
480 Old Westbury Rd
Roslyn Heights, NY 11577-2215
Phone
(516) 626-1971
NPI assigned
Mar 16, 2022
Last updated
Oct 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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 011835 NY Primary

Addresses

Primary practice location

480 Old Westbury Rd
Roslyn Heights, NY 11577-2215

Mailing address

480 Old Westbury Road
Roslyn Heights, NY 11577-2215
Phone (516) 626-1971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20260417003151 NY Practitioner - Mental Health Counselor 9436625357 Reassigns benefits to 1 organization
I20260420002987 FL Practitioner - Mental Health Counselor 9436625357 Reassigns benefits to 1 organization
I20260514001224 TX Practitioner - Mental Health Counselor 9436625357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Child and Family Guidance Association Incorporated CurrentSince Mar 20, 2022 Accepting new patients

Locations

480 Old Westbury Rd
Roslyn Hts, NY 11577
Phone (516) 626-1971

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, 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": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1164170304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 OLD WESTBURY ROAD",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772215",
            "telephone_number": "516-626-1971",
            "fax_number": "516-626-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 OLD WESTBURY RD",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772215",
            "telephone_number": "516-626-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRAGAN",
        "first_name": "MONIQUE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2023-10-04",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

Verify at the official NPI Registry.