Active NPI
Angela M Rine, LMHC
- Mental Health Counselor
- Islip, NY
National Provider Identifier
1386880573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 004148-1
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 004148-1 | NY | MD | Mental Health Counselor |
| 004148 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raising Hope Mental Health Counseling | Current | 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.
-
- Counselor
- Islip, NY
- NPI 1386379444
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.