Lisa Mineo, LMFT, CASAC-T

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001023 Issued in NY

Practice address

243 Nassau Boulevard South
Garden City, NY 11530

Phone

(516) 308-6458

NPI assigned

Sep 1, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 23, 2024 through Apr 23, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nassau Wellness Marriage and Family Therapy PLLC

  • Marriage & Family Therapist
  • Garden City, NY
  • NPI 1528717063
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1407303928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 BLUESPRUCE ROAD",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "11756",
            "telephone_number": "516-455-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 NASSAU BOULEVARD SOUTH",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "516-308-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINEO",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "LMFT, CASAC-T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "31436",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Miller
• Jeffrey Neil Miller, M.D.
• Jennifer Miller, DO
• Kaitlyn Elaine Miller, DPT
• Millpond Medical, P.C.
• Pasquale Minuto, RPH
• Felice J. Mirsky, M.D.
• Abdul-Samad Mirza
• Christopher S Misciagno, MD
• Kelly Misevich

• Marriage & Family Therapist in Garden City, NY
• Providers in Garden City, NY by specialty
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.

Verify at the official NPI Registry.