Individual provider Active NPI

Victoria Joanne Ewart, MHC-LP

  • Mental Health Counselor
  • Smithtown, NY
National Provider Identifier
1336016062
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P132502 Issued in NY
Practice address
50 Route 111 Ste 101
Smithtown, NY 11787-3700
Phone
(631) 805-5668
NPI assigned
Oct 17, 2025
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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 P132502 NY Primary

Addresses

Primary practice location

50 Route 111 Ste 101
Smithtown, NY 11787-3700

Mailing address

85 Fairview Cir
Middle Island, NY 11953-2341
Phone (631) 561-8815

Other practice location 1

400 Crooked Hill Rd
Brentwood, NY 11717-1039
Phone (631) 231-3232

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
P132502NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Development Corperation CurrentSince Oct 21, 2025 Accepting new patients

Locations

400 Crooked Hill Rd
Brentwood, NY 11717
Phone (631) 231-3232

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, 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": "1760659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1336016062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 FAIRVIEW CIR",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119532341",
            "telephone_number": "631-561-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ROUTE 111 STE 101",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873700",
            "telephone_number": "631-805-5668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Crooked Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "NY",
            "postal_code": "117171039",
            "country_code": "US",
            "telephone_number": "631-231-3232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EWART",
        "first_name": "VICTORIA",
        "middle_name": "JOANNE",
        "credential": "MHC-LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-17",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P132502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.