Brandon Bjertnes, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

007188 Issued in NY

Practice address

166 Lakeside Dr
Oakdale, NY 11769-2148

Phone

(631) 375-5352

NPI assigned

Apr 3, 2017

Last updated

Apr 3, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1477085892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 LAKESIDE DR",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117692148",
            "telephone_number": "631-375-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 LAKESIDE DR",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117692148",
            "telephone_number": "631-375-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJERTNES",
        "first_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salil Bakshi, M.D.
• Mary Ann Beatty, PTA
• Al Ira Berger, DDS
• Jared Ross Beyer, RN
• Roberta Biancuzzo Staebler, MA
• Patricia Blanco
• Amanda R Bloom, COTA
• Laurie Ann Bonomo, LMSW
• Roslyn M Bowen, OTR L
• Lisa Brander

• Mental Health Counselor in Oakdale, NY
• Providers in Oakdale, 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 Apr 3, 2017; 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.