Individual provider Active NPI

Bianca Posa

  • Mental Health Counselor
  • Lynbrook, NY
National Provider Identifier
1376163287
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010659 Issued in NY
Practice address
500 Merrick Rd
Lynbrook, NY 11563-2449
Phone
(516) 777-0403
NPI assigned
Apr 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 010659 NY Primary

Addresses

Primary practice location

500 Merrick Rd
Lynbrook, NY 11563-2449

Mailing address

500 Merrick Rd
Lynbrook, NY 11563-2449

Other practice location 1

150 Piccadilly Dwns
Lynbrook, NY 11563-3114
Phone (516) 659-1265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250121000254 NY Practitioner - Mental Health Counselor 3971032954 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010659NYMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Wellness Mental Health Counseling P.C. Mental Health CurrentSince Dec 1, 2024 Accepting new patients

Locations

120 7th St
Ste 203B
Garden City, NY 11530
Phone (516) 341-0097

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": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1376163287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MERRICK RD",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632449",
            "fax_number": "516-341-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MERRICK RD",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632449",
            "telephone_number": "516-777-0403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Piccadilly Dwns",
            "address_purpose": "LOCATION",
            "city": "Lynbrook",
            "state": "NY",
            "postal_code": "115633114",
            "country_code": "US",
            "telephone_number": "516-659-1265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POSA",
        "first_name": "BIANCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

Verify at the official NPI Registry.