Individual provider Active NPI

Brigid Lavelle

  • Mental Health Counselor
  • Merrick, NY
National Provider Identifier
1255979928
Registry record updated Apr 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
014444 Issued in NY
Practice address
1757 Merrick Ave Ste 106
Merrick, NY 11566-2717
Phone
(516) 247-6449
NPI assigned
Dec 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2024

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 014444 NY Primary

Addresses

Primary practice location

1757 Merrick Ave Ste 106
Merrick, NY 11566-2717

Mailing address

1757 Merrick Ave Ste 106
Merrick, NY 11566-2717
Phone (516) 247-6449

Other practice location 1

1035 Park Blvd Ste 2C
Massapequa Park, NY 11762-2743
Phone (516) 247-6449

Other practice location 2

1695 Merrick Ave
Merrick, NY 11566-1628
Phone (516) 247-6449

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

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling for You Long Island Mental Health CurrentSince Apr 21, 2024 Accepting new patients

Locations

1035 Park Blvd
Ste 2C
Massapequa Park, NY 11762
Phone (516) 247-6449

1757 Merrick Ave
Ste 106
Merrick, NY 11566
Phone (516) 247-6449

389 Merrick Ave
North Merrick, NY 11566
Phone (516) 247-6449

1757 Merrick Ave
North Merrick, NY 11566
Phone (516) 623-1617

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1255979928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 MERRICK AVE STE 106",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662717",
            "telephone_number": "516-247-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 MERRICK AVE STE 106",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662717",
            "telephone_number": "516-247-6449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 Park Blvd Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Massapequa Park",
            "state": "NY",
            "postal_code": "117622743",
            "country_code": "US",
            "telephone_number": "516-247-6449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1695 Merrick Ave",
            "address_purpose": "LOCATION",
            "city": "Merrick",
            "state": "NY",
            "postal_code": "115661628",
            "country_code": "US",
            "telephone_number": "516-247-6449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVELLE",
        "first_name": "BRIGID",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "014444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; 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.