Organization Active NPI

Your Neighborhood Mental Health Counseling PC

  • Mental Health Counselor
  • Valley Stream, NY
National Provider Identifier
1356163513
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Antoinette BurnettNPI 1174900534
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.