Individual provider Active NPI

Ronald Villano, LMHC

  • Mental Health Counselor
  • Bohemia, NY
National Provider Identifier
1609062462
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
003502-1 Issued in NY
Practice address
1650 Sycamore Ave
Suite 39
Bohemia, NY 11716-1738
Phone
(631) 758-8290
NPI assigned
Sep 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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 003502-1 NY Primary
Professional Counselor 101YP2500X 003502-1 NY

Addresses

Primary practice location

1650 Sycamore Ave
Suite 39
Bohemia, NY 11716-1738

Mailing address

1650 Sycamore Ave
Suite 39
Bohemia, NY 11716-1738
Phone (631) 758-8290

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
I20240222003613 NY Practitioner - Mental Health Counselor 8921362534 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003502-1NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald Villano Mental Health Counselor, PLLC Mental Health CurrentSince Apr 26, 2018 Accepting new patients
Family and Perosnal Counseling Past Accepting new patients

Locations

1650 Sycamore Ave
Ste 39
Bohemia, NY 11716

1650 Sycamore Ave
Bohemia, NY 11716
Phone (516) 405-5041

8 Greenwood Ave
East Islip, NY 11730
Phone (516) 680-7008

64 Division Ave
Ste 102
Levittown, NY 11756
Phone (347) 324-0168

7530 Metropolitan Ave
Ste 102
Middle Village, NY 11379

872 Middle Country Rd
Saint James, NY 11780
Phone (631) 360-1544

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, 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": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1609062462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 SYCAMORE AVE",
            "address_2": "SUITE 39",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117161738",
            "telephone_number": "631-758-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SYCAMORE AVE",
            "address_2": "SUITE 39",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117161738",
            "telephone_number": "631-758-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANO",
        "first_name": "RONALD",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "003502-1",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "003502-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bohemia, NY

Sources for this page

Verify at the official NPI Registry.