Individual provider Active NPI

Isabella Christine Velasquez, MHC-LP

  • Mental Health Counselor
  • Commack, NY
National Provider Identifier
1619794567
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
368 Veterans Memorial Hwy Ste 3
Commack, NY 11725-4322
Phone
(631) 533-0315
NPI assigned
Sep 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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 P135503 NY
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

368 Veterans Memorial Hwy Ste 3
Commack, NY 11725-4322

Mailing address

368 Veterans Memorial Hwy Ste 3
Commack, NY 11725-4322

Other practice location 1

380 N Broadway Ph
Jericho, NY 11753-2115
Phone (631) 533-0315

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

State licenses

LicenseStateTypeSpecialty
P135503NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sean Tendler Mental Health Counseling, P.C. Mental Health CurrentSince Aug 17, 2025 Accepting new patients

Locations

368 Veterans Memorial Hwy
Ste 3
Commack, NY 11725
Phone (631) 533-0315

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1619794567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 VETERANS MEMORIAL HWY STE 3",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 VETERANS MEMORIAL HWY STE 3",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254322",
            "telephone_number": "631-533-0315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 N Broadway Ph",
            "address_purpose": "LOCATION",
            "city": "Jericho",
            "state": "NY",
            "postal_code": "117532115",
            "country_code": "US",
            "telephone_number": "631-533-0315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELASQUEZ",
        "first_name": "ISABELLA",
        "middle_name": "CHRISTINE",
        "credential": "MHC-LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P135503",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.