NPIMap

Organization Active NPI

Grace Colasacco, Licensed Mental Health Counselor, PLLC

  • Mental Health Counselor
  • Lindenhurst, NY
National Provider Identifier
1356720627
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
006191 Issued in NY
Legal business name
GRACE COLASACCO, LICENSED MENTAL HEALTH COUNSELOR, PLLC
Practice address
138 S 1St St
Suite 115
Lindenhurst, NY 11757-4930
Phone
(631) 741-6699
NPI assigned
May 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Grace Colasacco, LMHCNPI 1932582400
Title
Owner
Phone
(631) 741-6699

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 006191 NY Primary

Addresses

Primary practice location

138 S 1St St
Suite 115
Lindenhurst, NY 11757-4930

Mailing address

310 Granada Pkwy
Lindenhurst, NY 11757-6303
Phone (516) 647-6064

National Provider Directory

National Provider Directory

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": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1356720627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GRANADA PKWY",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117576303",
            "telephone_number": "516-647-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 S 1ST ST",
            "address_2": "SUITE 115",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117574930",
            "telephone_number": "631-741-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE COLASACCO, LICENSED MENTAL HEALTH COUNSELOR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "COLASACCO",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-741-6699",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.