Individual provider Active NPI

Kristen Elizabeth Herbert-Delaney, LMHC

  • Mental Health Counselor
  • Bethpage, NY
National Provider Identifier
1235457490
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
004224 Issued in NY
Practice address
1211 Stewart Ave Ste 100
Bethpage, NY 11714-1601
Phone
(516) 465-3998
NPI assigned
May 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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 004224 NY Primary

Addresses

Primary practice location

1211 Stewart Ave Ste 100
Bethpage, NY 11714-1601

Mailing address

1211 Stewart Ave Ste 100
Bethpage, NY 11714-1601
Phone (516) 465-3998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 8, 2024 through Nov 8, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
004224NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1235457490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 STEWART AVE STE 100",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117141601",
            "telephone_number": "516-465-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 STEWART AVE STE 100",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117141601",
            "telephone_number": "516-465-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT-DELANEY",
        "first_name": "KRISTEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

Verify at the official NPI Registry.