Active NPI
Gregory Couba
- Mental Health Counselor
- West Sayville, NY
National Provider Identifier
1396536124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P127885
- Practice address
- 93 Main St
West Sayville, NY 11796-1832 - Phone
- (631) 502-5220
- NPI assigned
- May 13, 2025
- Sex
- Male
- 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 | P127885 | NY | Primary |
Addresses
Primary practice location
93 Main St
West Sayville, NY 11796-1832
Mailing address
2561 Fenton Ave
Bronx, NY 10469-5602
Phone (917) 719-6763
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
| License | State | Type | Specialty |
|---|---|---|---|
| P127885 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1396536124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2561 FENTON AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104695602",
"telephone_number": "917-719-6763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 MAIN ST",
"city": "WEST SAYVILLE",
"state": "NY",
"postal_code": "117961832",
"telephone_number": "631-502-5220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUBA",
"first_name": "GREGORY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-13",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P127885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Sayville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.