Individual provider Active NPI

Laura Marilyn Soriano, LMHC

  • Counselor
  • Forest Hills, NY
National Provider Identifier
1497215545
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
008263 Issued in NY
Practice address
7714 113TH St Apt 2R
Forest Hills, NY 11375-7111
Phone
(646) 272-8058
NPI assigned
Mar 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Counselor 101Y00000X 008263 NY Primary

Addresses

Primary practice location

7714 113TH St Apt 2R
Forest Hills, NY 11375-7111

Mailing address

7714 113TH St Apt 2R
Forest Hills, NY 11375-7111
Phone (646) 272-8058

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lsoriano@empoweryourselfcounseling.com Direct

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
I20241120001906 NY Practitioner - Mental Health Counselor 8628502770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Broadhollow Rd
Suite 207
Melville, NY 11747-4806
Phone (646) 656-0164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008263NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Yourself Mental Health Counseling Services PC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

11835 Queens Blvd
Ste 400
Forest Hills, NY 11375
Phone (646) 722-7610

200 Broadhollow Rd
Ste 207
Melville, NY 11747
Phone (516) 906-4970

4902 Queens Blvd
Ste 2
Woodside, NY 11377
Phone (929) 296-6790

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1497215545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7714 113TH ST APT 2R",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757111",
            "telephone_number": "646-272-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7714 113TH ST APT 2R",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757111",
            "telephone_number": "646-272-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORIANO",
        "first_name": "LAURA",
        "middle_name": "MARILYN",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-24",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "008263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lsoriano@empoweryourselfcounseling.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7714 113th St Apt 2R",
            "city": "Forest Hills",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113757111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.