Individual provider Active NPI

Sara Eisenberger, LMHC

  • Mental Health Counselor
  • Far Rockaway, NY
National Provider Identifier
1215440052
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
006977 Issued in NY
Practice address
1311 Virginia St
Far Rockaway, NY 11691-4630
Phone
(718) 327-2909
NPI assigned
Nov 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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 006977 NY Primary

Addresses

Primary practice location

1311 Virginia St
Far Rockaway, NY 11691-4630

Mailing address

47 Causeway
Lawrence, NY 11559-1513
Phone (516) 400-9788

Other identifiers 1

IdentifierTypeStateIssuer
006977OtherNYOFFICE OF THE PROFESSIONS

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

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1215440052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CAUSEWAY",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591513",
            "telephone_number": "516-400-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 VIRGINIA ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914630",
            "telephone_number": "718-327-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERGER",
        "first_name": "SARA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF THE PROFESSIONS",
            "identifier": "006977",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.