Kendall Bierman, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

014972 Issued in NY

Practice address

1 Village GRN # 324
Patchogue, NY 11772-3080

Phone

(973) 590-1002

NPI assigned

Jan 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 20, 2025 through Apr 20, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mirielle Therapy Practice, PLLC

  • Clinical Psychologist
  • New York, NY
  • NPI 1316487978
  NPD (past)

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729382400000",
    "number": "1215400064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VILLAGE GRN # 324",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723080",
            "telephone_number": "973-590-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VILLAGE GRN # 324",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723080",
            "telephone_number": "973-590-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 5th Ave Rm 1909",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166658",
            "country_code": "US",
            "telephone_number": "212-545-9901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIERMAN",
        "first_name": "KENDALL",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2024-10-20",
        "certification_date": "2024-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "014972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Bertolino
• Barbara Beutler, LPN
• Priyanka Bhandari, MD
• Aasmaaye Husna Bhuiyan, DMD
• Angelo M Biase, DC
• Christopher Bila
• Janet Bishop, LPN
• Kimberly Bishop
• Marisa Bisiani, NURSE PRACTITIONER
• Genevieve Blaize, LPN

• Mental Health Counselor in Patchogue, NY
• Providers in Patchogue, 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 Oct 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.