Individual provider Active NPI

Colleen Clare Piazza, MA LMHC

  • Mental Health Counselor
  • Rockville Centre, NY
National Provider Identifier
1487835633
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001188 Issued in NY
Practice address
100 N Village Ave
Suite 26
Rockville Centre, NY 11570-3767
Phone
(516) 850-9459
Fax
(516) 277-1005
NPI assigned
Nov 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 001188 NY Primary

Addresses

Primary practice location

100 N Village Ave
Suite 26
Rockville Centre, NY 11570-3767

Mailing address

289 Vincent Ave
Lynbrook, NY 11563-2152
Phone (516) 850-9459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
001188NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1487835633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 VINCENT AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632152",
            "telephone_number": "516-850-9459",
            "fax_number": "516-277-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N VILLAGE AVE",
            "address_2": "SUITE 26",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703767",
            "telephone_number": "516-850-9459",
            "fax_number": "516-277-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIAZZA",
        "first_name": "COLLEEN",
        "middle_name": "CLARE",
        "name_prefix": "Mrs.",
        "credential": "MA LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.