Individual provider Active NPI

Alyssa Sceppaguercio, PHD, LMHC-D

  • Mental Health Counselor
  • Commack, NY
National Provider Identifier
1477190148
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009199 Issued in NY
Practice address
368 Veterans Memorial Hwy Ste 3
Commack, NY 11725-4322
Phone
(631) 533-0315
NPI assigned
Dec 2, 2019
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 009199 NY
Mental Health Counselor 101YM0800X 009199 NY Primary

Addresses

Primary practice location

368 Veterans Memorial Hwy Ste 3
Commack, NY 11725-4322

Mailing address

368 Veterans Memorial Hwy Ste 3
Commack, NY 11725-4322
Phone (631) 533-0315

Other practice location 1

380 N Broadway Ph E
Jericho, NY 11753-2198
Phone (631) 533-0315

Other practice location 2

65 Air Park Dr Ste 10
Ronkonkoma, NY 11779-7374
Phone (631) 533-0315

Other practice location 3

223 Wall St # 1047
Huntington, NY 11743-2060
Phone (973) 868-1924

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
I20240925004101 NY Practitioner - Mental Health Counselor 6901347301 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Sean Tendler Mental Health Counseling, P.C. Mental Health CurrentSince Aug 13, 2024 Accepting new patients

Locations

600 Johnson Ave
Ste C5
Bohemia, NY 11716
Phone (631) 533-0315

368 Veterans Memorial Hwy
Ste 3
Commack, NY 11725
Phone (631) 533-0315

380 N Broadway
Ph E
Jericho, NY 11753
Phone (631) 533-0315

65 Air Park Dr
Ste 10
Ronkonkoma, NY 11779
Phone (631) 533-0315

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1477190148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 VETERANS MEMORIAL HWY STE 3",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254322",
            "telephone_number": "631-533-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 VETERANS MEMORIAL HWY STE 3",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254322",
            "telephone_number": "631-533-0315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 N Broadway Ph E",
            "address_purpose": "LOCATION",
            "city": "Jericho",
            "state": "NY",
            "postal_code": "117532198",
            "country_code": "US",
            "telephone_number": "631-533-0315",
            "fax_number": "855-752-5170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Air Park Dr Ste 10",
            "address_purpose": "LOCATION",
            "city": "Ronkonkoma",
            "state": "NY",
            "postal_code": "117797374",
            "country_code": "US",
            "telephone_number": "631-533-0315",
            "fax_number": "855-752-5170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "223 Wall St # 1047",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "117432060",
            "country_code": "US",
            "telephone_number": "973-868-1924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCEPPAGUERCIO",
        "first_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "PHD, LMHC-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "009199",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.