Individual provider Active NPI

Angela M Rine, LMHC

  • Mental Health Counselor
  • Islip, NY
National Provider Identifier
1386880573
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
004148-1 Issued in NY
Practice address
435 Main St Ste 5
Islip, NY 11751-3536
Phone
(516) 458-6162
NPI assigned
Dec 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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 004148-1 NY Primary

Addresses

Primary practice location

435 Main St Ste 5
Islip, NY 11751-3536

Mailing address

2453 Union Blvd Apt 39B
Islip, NY 11751-3142
Phone (516) 458-6162

Other practice location 1

175 Fulton Ave
Suite 206
Hempstead, NY 11550-3718
Phone (516) 481-0052 ext. 12

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 1, 2025 through Mar 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
004148-1NYMDMental Health Counselor
004148NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Raising Hope Mental Health Counseling CurrentSince Jul 24, 2022 Accepting new patients

Locations

520 Franklin Ave
Ste L21B
Garden City, NY 11530
Phone (516) 252-1870

215 Islip Ave
Ste 1
Islip, NY 11751
Phone (631) 277-0558

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": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1386880573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2453 UNION BLVD APT 39B",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513142",
            "telephone_number": "516-458-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 MAIN ST STE 5",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513536",
            "telephone_number": "516-458-6162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Fulton Ave",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Hempstead",
            "state": "NY",
            "postal_code": "115503718",
            "country_code": "US",
            "telephone_number": "516-481-0052 x12",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RINE",
        "first_name": "ANGELA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004148-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islip, NY

Sources for this page

Verify at the official NPI Registry.