Tijo Thomas Thayil
Individual provider Active NPI Mental Health Counselor · Lynbrook, NY
NPI 1376901926 · NPPES record last updated Jun 4, 2026
Key facts
- NPI
- 1376901926
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 015959 (NY)
- Practice address
- 777 Sunrise Hwy Ste 200
Lynbrook, NY 11563-2950 - Phone
- (516) 350-8564
- NPI assigned
- Feb 10, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Nassau Psychology, P.C.
Practice addresses (Care Compare)
123 Grove Ave
Suite 216
Cedarhurst, NY 11516-2302
Phone (516) 350-8564
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251117001632 | NY | Practitioner - Mental Health Counselor | 9234620386 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nassau Psychology, P.C. | Current |
Accepting new patients |
Locations
123 Grove Ave
Ste 216
Cedarhurst, NY 11516
Phone (516) 569-5200
777 Sunrise Hwy
Ste 200
Lynbrook, NY 11563
Phone (516) 887-3516
165 N Village Ave
Ste 12
Rockville Ctr, NY 11570
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Mental Health Counselor | 101YM0800X | 015959 | NY | Yes |
Addresses
Primary practice location
777 Sunrise Hwy Ste 200
Lynbrook, NY 11563-2950
Mailing address
184 Bette Rd
East Meadow, NY 11554-1305
Phone (516) 749-3342
Other practice location 1
184 Bette Road
East Meadow, NY 11554
Phone (516) 749-3342
Other providers in Lynbrook, NY
- Michael Talish
- Jeanne C Taloute
- Marvin Brian Tankel
- Kelly B Tedesco
- Makenzie Patricia Teramo
- Kristen L Thies
- Erica Thompson
- Jamie Thompson
- Verna Thurton
- Harold Mitchell Tice
All providers in Lynbrook, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.