Alison Diaz-Perez
Individual provider Active NPI Mental Health Counselor · Glen Head, NY
NPI 1609414432 · NPPES record last updated Dec 11, 2019
Key facts
- NPI
- 1609414432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 009837 (NY)
- Practice address
- 333 Glen Head Rd
Glen Head, NY 11545-1947 - Phone
- (631) 533-0315
- NPI assigned
- Dec 11, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009837 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rose Mental Health Counseling PC | Mental Health | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 009837 | NY | Yes |
Addresses
Primary practice location
333 Glen Head Rd
Glen Head, NY 11545-1947
Mailing address
47 Hilltop Dr
Syosset, NY 11791-2002
Other practice location 1
368 Veterans Memorial Hwy
Commack, NY 11725-4322
Phone (631) 533-0315
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GJ86365D | Medicaid | NY |
Other providers in Glen Head, NY
- CXC Physician, P.C.
- Joseph D'Antonio Jr.
- Nicole J D'Aversa
- Linda A Darby
- Garry Richard Dbrant
- Fred Doulton
- Cynthia Ann Downing
- Dr John Kelly Anesthesia PC
- Dr.Roy F.Gherardi
- Susan A Dubourg
All providers in Glen Head, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.