Intake Mental Health Counseling PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INTAKE MENTAL HEALTH COUNSELING PLLC

Practice address

50 Glen St Ste 232
Glen Cove, NY 11542-4304

Phone

(516) 234-6938

NPI assigned

Jun 14, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandy Baker, LMHCNPI 1336614544

Title

Counselor

Phone

(516) 669-9188

Specialties & licenses 1

Addresses

Other names 1

• Healthintakes Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandy Baker, LMHC

  • Mental Health Counselor
  • Glen Cove, NY
  • NPI 1336614544
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1275217614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 HENDRICK AVE",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422938",
            "telephone_number": "516-669-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GLEN ST STE 232",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115424304",
            "telephone_number": "516-234-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTAKE MENTAL HEALTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "516-669-9188",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://ehr.icanotes.com/~~srv32/software/html5.html",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "50 Glen St Ste 232",
            "city": "Glen Cove",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115424304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Healthintakes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Glen Cove, NY
• Providers in Glen Cove, 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 Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.