Individual provider Active NPI

Melissa Dukofsky, MA, LMHC, LCAT

  • Mental Health Counselor
  • Valley Stream, NY
National Provider Identifier
1336446079
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001404 Issued in NY
Practice address
139 N Central Ave
Suite 1 (Upper Level)
Valley Stream, NY 11580-3856
Phone
(516) 561-2225
NPI assigned
Feb 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 000076 NY
Mental Health Counselor 101YM0800X 001404 NY Primary

Addresses

Primary practice location

139 N Central Ave
Suite 1 (Upper Level)
Valley Stream, NY 11580-3856

Mailing address

139 N Central Ave
Suite 1 (Upper Level)
Valley Stream, NY 11580-3856
Phone (516) 561-2225

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
000076NYMDCounselor
001404NYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas J. Dukofsky, D.C.P.C. Past Accepting new patients

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": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1336446079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 N CENTRAL AVE",
            "address_2": "SUITE 1 (UPPER LEVEL)",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803856",
            "telephone_number": "516-561-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 N CENTRAL AVE",
            "address_2": "SUITE 1 (UPPER LEVEL)",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803856",
            "telephone_number": "516-561-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKOFSKY",
        "first_name": "MELISSA",
        "credential": "MA, LMHC, LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "000076",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.