Active NPI
Amy Delgado, LMHC
- Mental Health Counselor
- Medford, NY
National Provider Identifier
1376263418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 016496
- Practice address
- 3390 Route 112 Ste a
Medford, NY 11763-1442 - Phone
- (631) 512-4092
- Fax
- (315) 745-5063
- NPI assigned
- Aug 30, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 016496 | NY | Primary |
Addresses
Primary practice location
3390 Route 112 Ste a
Medford, NY 11763-1442
Mailing address
3390 Route 112 Ste a
Medford, NY 11763-1442
Phone (631) 512-4092
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Farmingdale Rd
West Babylon, NY 11704-6545
34 1St St
Ronkonkoma, NY 11779-5382
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016496 | NY | MD | Physician Assistant |
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.
-
- Community/Behavioral Health Agency
- West Babylon, NY
- NPI 1346433307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1376263418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3390 ROUTE 112 STE A",
"city": "MEDFORD",
"state": "NY",
"postal_code": "117631442",
"telephone_number": "631-512-4092",
"fax_number": "315-745-5063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3390 ROUTE 112 STE A",
"city": "MEDFORD",
"state": "NY",
"postal_code": "117631442",
"telephone_number": "631-512-4092",
"fax_number": "315-745-5063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELGADO",
"first_name": "AMY",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-30",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "016496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.