Kristen Renee Padula

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P108807 Issued in NY

Practice address

2-12 W Park Ave
Long Beach, NY 11561-2025

Phone

(516) 889-2332

NPI assigned

Aug 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Long Beach Reach IncGroup PAC ID 3779884572, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Long Beach Reach Inc.

  • Community/Behavioral Health Agency
  • Long Beach, NY
  • NPI 1285767608
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1457025462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2-12 W PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612025",
            "telephone_number": "516-889-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2-12 W PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612025",
            "telephone_number": "516-889-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADULA",
        "first_name": "KRISTEN",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P108807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Oliveri, PHARM D.
• Optimize Psychological Health PLLC
• Eduardo Jose Ortega, DPT
• Orthoscientific
• Gary M Osofsky, RPH
• Taylor Nicole Paganini
• Monica Suniti Pal, PH.D.
• Joanne Paradiso, B.S. PHARMACY, MBA
• Park Ave Eyeland East, LLC
• Park Avenue Eyeland Inc.

• Mental Health Counselor in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.