Individual provider Active NPI

Alan Pine, M.S., LMHC, CGP

  • Mental Health Counselor
  • Roslyn, NY
National Provider Identifier
1487885349
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000826-1 Issued in NY
Practice address
20 Vernon Ave
Roslyn, NY 11576-2104
Phone
(516) 801-2237
Fax
(516) 674-8517
NPI assigned
Jul 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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 000826-1 NY Primary

Addresses

Primary practice location

20 Vernon Ave
Roslyn, NY 11576-2104

Mailing address

20 Vernon Ave
Roslyn, NY 11576-2104
Phone (516) 801-2237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
City University of New York School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Carman Rd
Greenvale, NY 11548-1123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000826-1NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1487885349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 VERNON AVE",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762104",
            "telephone_number": "516-801-2237",
            "fax_number": "516-674-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 VERNON AVE",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762104",
            "telephone_number": "516-801-2237",
            "fax_number": "516-674-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINE",
        "first_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "M.S., LMHC, CGP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000826-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

Verify at the official NPI Registry.