NPIMap

Organization Active NPI

Dynamic Counseling LCSW PC

  • Mental Health Counselor
  • Commack, NY
National Provider Identifier
1457949562
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DYNAMIC COUNSELING LCSW PC
Practice address
354 Veterans Memorial Hwy Ste 5
Commack, NY 11725-4331
Phone
(516) 324-6823
NPI assigned
Jan 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Mr. James Sharpe, LCSWNPI 1124429519
Title
Co President
Phone
(516) 324-6823

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

354 Veterans Memorial Hwy Ste 5
Commack, NY 11725-4331

Mailing address

354 Veterans Hwy Ste 5
Commack, NY 11725-4331
Phone (516) 324-6823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210319000330 NY Part B Supplier - Clinic/Group Practice 2163839135 Receives reassigned benefits from 5 practitioners
Practice locations: Commack, NY

National Provider Directory

National Provider Directory

Locations

354 Veterans Memorial Hwy
Ste 5
Commack, NY 11725
Phone (631) 600-3216

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1457949562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 VETERANS HWY STE 5",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254331",
            "telephone_number": "516-324-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 VETERANS MEMORIAL HWY STE 5",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254331",
            "telephone_number": "516-324-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC COUNSELING LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "SHARPE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CO PRESIDENT",
        "authorized_official_telephone_number": "516-324-6823",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.