Brandon Bjertnes, LMHC
Individual provider Active NPI Mental Health Counselor · Oakdale, NY
NPI 1477085892 · NPPES record last updated Apr 3, 2017
Key facts
- NPI
- 1477085892
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 007188 (NY)
- Practice address
- 166 Lakeside Dr
Oakdale, NY 11769-2148 - Phone
- (631) 375-5352
- NPI assigned
- Apr 3, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 007188 | NY | Yes |
Addresses
Primary practice location
166 Lakeside Dr
Oakdale, NY 11769-2148
Mailing address
166 Lakeside Dr
Oakdale, NY 11769-2148
Phone (631) 375-5352
Other providers in Oakdale, NY
- Salil Bakshi
- Mary Ann Beatty
- Al Ira Berger
- Jared Ross Beyer
- Roberta Biancuzzo Staebler
- Patricia Blanco
- Amanda R Bloom
- Laurie Ann Bonomo
- Roslyn M Bowen
- Lisa Brander
All providers in Oakdale, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.