Individual provider Active NPI

Marie N Gelin, M.S.W., L.M.H.C.

  • Mental Health Counselor
  • Valley Stream, NY
National Provider Identifier
1427078484
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
002579 Issued in NY
Practice address
79 Bank St
First Floor
Valley Stream, NY 11580-1005
Phone
(516) 503-1571
Fax
(516) 285-3689
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 002579 NY Primary

Addresses

Primary practice location

79 Bank St
First Floor
Valley Stream, NY 11580-1005

Mailing address

79 Bank St
Frist Floor
Valley Stream, NY 11580-1005
Phone (516) 503-1571

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
002579NYMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427078484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 BANK ST",
            "address_2": "FRIST FLOOR",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801005",
            "telephone_number": "516-503-1571",
            "fax_number": "516-285-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 BANK ST",
            "address_2": "FIRST FLOOR",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801005",
            "telephone_number": "516-503-1571",
            "fax_number": "516-285-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELIN",
        "first_name": "MARIE",
        "middle_name": "N",
        "credential": "M.S.W., L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "002579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.