Individual provider Active NPI

Peter J Stieglmayr, LMHC

  • Mental Health Counselor
  • Forest Hills, NY
National Provider Identifier
1316553753
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
012527 Issued in NY
Practice address
102-36 64TH Avenue #6J
Forest Hills, NY 11375-1508
Phone
(929) 445-2107
Fax
(929) 229-0116
NPI assigned
Sep 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 106803-01 NY
Counselor 101Y00000X 106803-01 NY
Mental Health Counselor 101YM0800X 106803-01 NY
Pastoral Counselor 101YP1600X 106803-01 NY
Professional Counselor 101YP2500X 106803-01 NY
Mental Health Counselor 101YM0800X 012527 NY Primary

Addresses

Primary practice location

102-36 64TH Avenue #6J
Forest Hills, NY 11375-1508

Mailing address

102-36 64TH Avenue #6J
Forest Hills, NY 11375-1508
Phone (929) 445-2107

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

State licenses

LicenseStateTypeSpecialty
106803-01NYMDPastoral Counselor
012527NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Living Hope Mental Health Counseling, PLLC Mental Health CurrentSince Aug 6, 2023 Accepting new patients
Phoenix Houses of Long Island, Inc. PastSince Sep 1, 2020 Accepting new patients

Locations

3811 Ditmars Blvd
Astoria, NY 11105
Phone (718) 626-6245

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1316553753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102-36 64TH AVENUE #6J",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751508",
            "telephone_number": "929-445-2107",
            "fax_number": "929-229-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102-36 64TH AVENUE #6J",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751508",
            "telephone_number": "929-445-2107",
            "fax_number": "929-229-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIEGLMAYR",
        "first_name": "PETER",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-21",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "106803-01",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "106803-01",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "106803-01",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NY",
            "license": "106803-01",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "106803-01",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.