Individual provider Active NPI

Bryanna Pirro, LMHC-LP

  • Mental Health Counselor
  • Melville, NY
National Provider Identifier
1588397780
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P115906 Issued in NY
Practice address
535 Broadhollow Rd Ste M105
Melville, NY 11747-3719
Phone
(992) 551-6303
NPI assigned
Jul 5, 2022
Last updated
Jul 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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 P115906 NY Primary

Addresses

Primary practice location

535 Broadhollow Rd Ste M105
Melville, NY 11747-3719

Mailing address

50 Stevenson PL
Deer Park, NY 11729-2116
Phone (631) 873-6998

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
I20240731000141 NY Practitioner - Mental Health Counselor 3173060894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J.Corea Mental Health Counseling PCGroup PAC ID 1658733621, 17 clinicians

Practice addresses (Care Compare)

585 Stewart Ave
Suite 700
Garden City, NY 11530-4785
Phone (516) 280-7285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P115906NYMDMental Health Counselor
014768NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
J.Corea Mental Health Counseling PC CurrentSince Jun 19, 2024 Accepting new patients

Locations

585 Stewart Ave
Ste 700
Garden City, NY 11530
Phone (516) 280-7285

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1588397780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 STEVENSON PL",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117292116",
            "telephone_number": "631-873-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 BROADHOLLOW RD STE M105",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473719",
            "telephone_number": "992-551-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRRO",
        "first_name": "BRYANNA",
        "credential": "LMHC-LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P115906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

Verify at the official NPI Registry.