Active NPI
Your Neighborhood Mental Health Counseling PC
- Mental Health Counselor
- Valley Stream, NY
National Provider Identifier
1356163513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- YOUR NEIGHBORHOOD MENTAL HEALTH COUNSELING PC
- Practice address
- 111 S Franklin Ave Ste 1541
Valley Stream, NY 11580-6108 - Phone
- (516) 847-4947
- NPI assigned
- Oct 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Antoinette Burnett
- Title
- Owner/Ceo
- Phone
- (516) 847-4947
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
111 S Franklin Ave Ste 1541
Valley Stream, NY 11580-6108
Mailing address
111 S Franklin Ave Ste 1541
Valley Stream, NY 11580-6108
Phone (516) 847-4947
National Provider Directory
National Provider DirectoryLocations
111 S Franklin Ave
Ste 1541
Valley Stream, NY 11580
Phone (516) 847-4947
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730160000000",
"number": "1356163513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S FRANKLIN AVE STE 1541",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115806108",
"telephone_number": "516-847-4947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S FRANKLIN AVE STE 1541",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115806108",
"telephone_number": "516-847-4947"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUR NEIGHBORHOOD MENTAL HEALTH COUNSELING PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-29",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A",
"authorized_official_last_name": "BURNETT",
"authorized_official_first_name": "ANTOINETTE",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "516-847-4947"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"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 Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.