Individual provider Active NPI

Antoinette Burnett, LMHC

  • Counselor
  • Valley Stream, NY
National Provider Identifier
1174900534
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
111 S Franklin Avenue
Suite 1541
Valley Stream, NY 11580-6108
Phone
(516) 849-4947
NPI assigned
May 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

111 S Franklin Avenue
Suite 1541
Valley Stream, NY 11580-6108

Mailing address

111 S Franklin Ave Ste 1541
Valley Stream, NY 11580-6108
Phone (516) 849-4947

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

Practice roles

OrganizationSpecialtyStatusNew patients
Your Neighborhood Mental Health Counseling PC Mental Health CurrentSince Nov 3, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Counselor Current Accepting new patients

Locations

111 S Franklin Ave
Ste 1541
Valley Stream, NY 11580
Phone (516) 847-4947

Interoperability endpoints

  • Direct secure messaging: antoinetteburnett@tdh.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1174900534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S FRANKLIN AVE STE 1541",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806108",
            "telephone_number": "516-849-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S FRANKLIN AVENUE",
            "address_2": "SUITE 1541",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806108",
            "telephone_number": "516-849-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "ANTOINETTE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

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

Verify at the official NPI Registry.