Individual provider Active NPI

Conor R Ohland, LMHC

  • Mental Health Counselor
  • Saint James, NY
National Provider Identifier
1396364618
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
013940-01 Issued in NY
Practice address
872 Middle Country Rd
St. James, NY 11780
Phone
(631) 758-8290
Fax
(631) 333-7888
NPI assigned
Apr 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 013940-01 NY Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

872 Middle Country Rd
St. James, NY 11780

Mailing address

1650 Sycamore Ave
#39
Bohemia, NY 11716
Phone (631) 758-8290

Other practice location 1

11 Hauppauge Rd
Smithtown, NY 11787
Phone (631) 920-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
013940-01NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald Villano Mental Health Counselor, PLLC Mental Health CurrentSince Oct 13, 2024 Accepting new patients

Locations

1650 Sycamore Ave
Ste 39
Bohemia, NY 11716

872 Middle Country Rd
Saint James, NY 11780
Phone (631) 360-1544

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": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1396364618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 SYCAMORE AVE",
            "address_2": "#39",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "11716",
            "telephone_number": "631-758-8290",
            "fax_number": "631-333-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 MIDDLE COUNTRY RD",
            "city": "ST. JAMES",
            "state": "NY",
            "postal_code": "11780",
            "telephone_number": "631-758-8290",
            "fax_number": "631-333-7888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Hauppauge Rd",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "11787",
            "country_code": "US",
            "telephone_number": "631-920-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OHLAND",
        "first_name": "CONOR",
        "middle_name": "R",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-16",
        "last_updated": "2024-10-10",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013940-01",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint James, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.