Individual provider Active NPI

Wilmarie Feliz, MA, LMHC

  • Mental Health Counselor
  • Great Neck, NY
National Provider Identifier
1457006330
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
012158 Issued in NY
Practice address
1010 Northern Blvd Ste 311
Great Neck, NY 11021-5329
Phone
(516) 788-8901
NPI assigned
Feb 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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 012158 NY Primary

Addresses

Primary practice location

1010 Northern Blvd Ste 311
Great Neck, NY 11021-5329

Mailing address

20652 46TH Rd
Bayside, NY 11361-3129

Other practice location 1

20652 46th Rd
Bayside, NY 11361-3129
Phone (347) 791-2504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241220003064 NY Practitioner - Mental Health Counselor 3173050622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Li Health Services LCSW PLLCGroup PAC ID 3779014519, 5 clinicians

Practice addresses (Care Compare)

1010 Northern Blvd
Suite 311
Great Neck, NY 11021-5329
Phone (516) 788-8901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
012158NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Li Health Services LCSW PLLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

1010 Northern Blvd
Ste 311
Great Neck, NY 11021
Phone (516) 788-8901

28 Maple Pl
Unit 1304
Manhasset, NY 11030

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": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1457006330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20652 46TH RD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 NORTHERN BLVD STE 311",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215329",
            "telephone_number": "516-788-8901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20652 46th Rd",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "NY",
            "postal_code": "113613129",
            "country_code": "US",
            "telephone_number": "347-791-2504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELIZ",
        "first_name": "WILMARIE",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.