Individual provider Active NPI

Melissa Visconti, LMHC

  • Mental Health Counselor
  • Smithtown, NY
National Provider Identifier
1336427673
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
59 Landing Ave Ste 5
Smithtown, NY 11787-2749
Phone
(631) 681-6872
NPI assigned
Aug 3, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 005443-1 NY
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

59 Landing Ave Ste 5
Smithtown, NY 11787-2749

Mailing address

59 Landing Ave Ste 5
Smithtown, NY 11787-2749
Phone (631) 681-6872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 10, 2024 through Apr 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
005443-1NYMDMental Health Counselor
005443NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Compassion Mental Health Counseling PLLC Mental Health CurrentSince Apr 1, 2023 Accepting new patients

Locations

340 Veterans Memorial Hwy
Ste 7
Commack, NY 11725
Phone (631) 355-8975

59 Landing Ave
Ste 5
Smithtown, NY 11787
Phone (631) 681-6872

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": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1336427673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 LANDING AVE STE 5",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872749",
            "telephone_number": "631-681-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 LANDING AVE STE 5",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872749",
            "telephone_number": "631-681-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISCONTI",
        "first_name": "MELISSA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005443-1",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.