Beachside Mental Health Counseling, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BEACHSIDE MENTAL HEALTH COUNSELING, PLLC

Practice address

151 W Beech St
Long Beach, NY 11561-3303

Phone

(347) 331-3226

NPI assigned

Sep 26, 2025

Organization subpart

No

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

Authorized official

Name

Kimberly D Johnson, PHD, LMHCDNPI 1699850206

Title

Owner

Phone

(347) 331-3226

Specialties & licenses 1

Addresses

Tax ID family

Beachside Mental Health Counseling PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Beachside Mental Health Counseling, PLLC

  • Mental Health Counselor
  • Long Beach, NY
  • NPI 1881568368
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Johnson, LMHC

  • Mental Health Counselor
  • Long Beach, NY
  • NPI 1699850206

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1417820283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 W BEECH ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613303",
            "telephone_number": "347-331-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W BEECH ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613303",
            "telephone_number": "347-331-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHSIDE MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-331-3226",
        "authorized_official_credential": "PHD, LMHCD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leland Stann Barry, OD
• Beach & Surf Medical, PC
• Beach Primary Medicine PC
• Beach Terrace Care Center Inc
• Beach Wellness Physical Therapy, LLC
• Beachside Mental Health Counseling, PLLC
• Shari Becker, M.D.
• Bed Pharmacy East, LLC
• Bed West, LLC
• Jerry Bedor, DDS

• All providers in Long Beach, NY
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.