Individual provider Active NPI

Stephanie Arico

  • Mental Health Counselor
  • East Islip, NY
National Provider Identifier
1285168880
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007875 Issued in NY
Practice address
107 W Main St
East Islip, NY 11730-2337
Phone
(631) 666-1615
NPI assigned
Apr 20, 2017
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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 007875 NY Primary

Addresses

Primary practice location

107 W Main St
East Islip, NY 11730-2337

Mailing address

213 Glenwood LN
Port Jefferson, NY 11777-1506
Phone (631) 275-6258

Other identifiers 1

IdentifierTypeStateIssuer
1285168880MedicaidNY

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
I20240212000888 NY Practitioner - Mental Health Counselor 8628411220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunrise Counseling Center,LTDGroup PAC ID 8224210232, 20 clinicians

Practice addresses (Care Compare)

107 W Main St
East Islip, NY 11730-2337
Phone (631) 666-1615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007875NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie B. Arico, Mental Health Counselor, P.C. Mental Health Current Accepting new patients
Sunrise Counseling Center,LTD CurrentSince Jan 16, 2024 Accepting new patients

Locations

107 W Main St
East Islip, NY 11730
Phone (631) 666-1615

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": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1285168880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 GLENWOOD LN",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771506",
            "telephone_number": "631-275-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302337",
            "telephone_number": "631-666-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARICO",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285168880",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Islip, NY

Sources for this page

Verify at the official NPI Registry.