Dominick Lociero, LMHC (LICENSE MENTAL

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

002200-1 Issued in NY

Practice address

646 Main Street
Port Jefferson, NY 11777

Phone

(631) 880-1370

NPI assigned

Jan 2, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1215358684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 CLUBHOUSE DRIVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-880-1370",
            "fax_number": "631-474-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 MAIN STREET",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "11777",
            "telephone_number": "631-880-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCIERO",
        "first_name": "DOMINICK",
        "name_prefix": "Mr.",
        "credential": "LMHC (LICENSE MENTAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "002200-1",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Igor Lizogubenko, P.A.
• Anthony L Llorens, MD
• Hannah Claire Lo
• Careena Ann Lobo
• Jacqueline Lobosco, PH.D.
• Jacqueline T Loehr, RN
• Keri A Logan, DMD
• Paul Louis Lograno
• Jessica Lombardi, PA
• Toni Lombardo

• Mental Health Counselor in Port Jefferson, NY
• Providers in Port Jefferson, 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 Jan 2, 2014; 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.