Anne Petraro, LMHC, CRC, NCIP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

002953-1 Issued in NY

Practice address

51 Hewlett Point Ave
East Rockaway, NY 11518-2420

Phone

(516) 784-9396

Fax

(516) 442-4542

NPI assigned

May 2, 2017

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mending Hearts Counseling Inc.Group PAC ID 0042748766, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mending Hearts Counseling Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elmont, NY
  • NPI 1235951674
  Medicare reassignment Care Compare group NPD
• My Quiet Place, Mental Health Counseling P.C.

  • Mental Health Counselor
  • Staten Island, NY
  • NPI 1932708682
  NPD (past)

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1225564933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 HEWLETT POINT AVE",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115182420",
            "telephone_number": "516-784-9396",
            "fax_number": "516-442-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 HEWLETT POINT AVE",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115182420",
            "telephone_number": "516-784-9396",
            "fax_number": "516-442-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRARO",
        "first_name": "ANNE",
        "credential": "LMHC, CRC, NCIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "002953-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laura Porretto, RN
• Alessandra Potash
• Brian Christopher Pritchard, LCSW
• Prohealth Rehabilitation PT,P.C.

• Mental Health Counselor in East Rockaway, NY
• Providers in East Rockaway, 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 May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.