Individual provider Active NPI

Victoria Guardino, MHC-LP

  • Mental Health Counselor
  • Rockville Centre, NY
National Provider Identifier
1245011584
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P120373
Practice address
165 N Village Ave Ste 132
Rockville Centre, NY 11570-3763
Phone
(516) 350-8564
NPI assigned
Oct 12, 2023
Last updated
Oct 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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 P120373 Primary

Addresses

Primary practice location

165 N Village Ave Ste 132
Rockville Centre, NY 11570-3763

Mailing address

165 N Village Ave Ste 12
Rockville Centre, NY 11570-3701

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250624003692 NY Practitioner - Mental Health Counselor 7719499805 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016139NYMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Psychology, P.C. CurrentSince May 16, 2025 Accepting new patients
Psychiatric NP Services of New York PLLC PastSince May 16, 2025 Accepting new patients

Locations

123 Grove Ave
Ste 216
Cedarhurst, NY 11516
Phone (516) 350-5864

165 N Village Ave
Ste 12
Rockville Ctr, NY 11570
Phone (516) 594-2111

165 N Village Ave
Ste 132
Rockville Ctr, NY 11570
Phone (516) 766-5851

3375 Park Ave
Ste 4006
Wantagh, NY 11793
Phone (516) 243-7445

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1245011584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 N VILLAGE AVE STE 12",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N VILLAGE AVE STE 132",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703763",
            "telephone_number": "516-350-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARDINO",
        "first_name": "VICTORIA",
        "credential": "MHC-LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "P120373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.