Kaitlin Phelps, MHC-LP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

165 E Main St
Huntington, NY 11743-2919

Phone

(631) 572-8912

NPI assigned

Apr 17, 2023

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Jul 8, 2025 through Jul 8, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Balance Mental Health Counseling PLLC

  • Mental Health Counselor
  • Huntington, NY
  • NPI 1831731579
  NPD (past)

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1497441000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 E MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 E MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432919",
            "telephone_number": "631-572-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "KAITLIN",
        "credential": "MHC-LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shabana Perveen, M.D.
• Peter H Pruden, D.D.S., P.C
• Peter Shapiro
• Nikolet Petras, DPT
• Lisa Pfeifer, CPNP
• Dennis-Roger Phillip, MD
• Alexandria Fe Phillips
• Phoenix Within Mental Health Counseling LLC
• Danielle Piacentino, L.AC
• Daniel M Picard, D.C.

• Mental Health Counselor in Huntington, NY
• Providers in Huntington, 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 Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.