Active NPI
Marilyn Beth Fenty, RN COUNSELOR
- Mental Health Counselor
- Dix Hills, NY
National Provider Identifier
1578787222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 292715 RN
- Practice address
- 31 Melrose Rd
Dix Hills, NY 11746-5610 - Phone
- (631) 425-1168
- Fax
- (631) 673-0313
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 292715 RN | NY | Primary |
Addresses
Primary practice location
31 Melrose Rd
Dix Hills, NY 11746-5610
Mailing address
31 Melrose Rd
Dix Hills, NY 11746-5610
Phone (631) 425-1168
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 292715 RN | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hollow Hills Licensed Clinical Social Work P.C. | Current | Accepting new patients | |
| Hollow Hills Counseling Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Social Worker
- Dix Hills, NY
- NPI 1346495710
-
- Clinical Social Worker
- Dix Hills, NY
- NPI 1164646881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578787222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 MELROSE RD",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465610",
"telephone_number": "631-425-1168",
"fax_number": "631-673-0313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 MELROSE RD",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465610",
"telephone_number": "631-425-1168",
"fax_number": "631-673-0313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENTY",
"first_name": "MARILYN",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "RN COUNSELOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "292715 RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dix Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.