Organization Active NPI

Best Life Therapy

  • Mental Health Counselor
  • Kings Park, NY
National Provider Identifier
1174455687
Registry record updated May 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BEST LIFE THERAPY
Practice address
66 Primrose LN
Kings Park, NY 11754-3929
Phone
(631) 748-7730
Fax
(631) 748-7730
NPI assigned
May 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2026

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

Authorized official

Name
Mr. Wendell Miller, LMSW, CBIST - PSYCHONPI 1295236123
Title
Owner
Phone
(631) 748-7730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

66 Primrose LN
Kings Park, NY 11754-3929

Mailing address

66 Primrose LN
Kings Park, NY 11754-3929
Phone (631) 748-7730

National Provider Directory

National Provider Directory
Tax ID family
Best Life Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1780099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780099200000",
    "number": "1174455687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 PRIMROSE LN",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117543929",
            "telephone_number": "631-748-7730",
            "fax_number": "631-748-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 PRIMROSE LN",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117543929",
            "telephone_number": "631-748-7730",
            "fax_number": "631-748-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEST LIFE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-30",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-748-7730",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW, CBIST - PSYCHO"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kings Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2026; 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.