Individual provider Active NPI

Roni-Sue Allen, LMFT

  • Marriage & Family Therapist
  • Port Washington, NY
National Provider Identifier
1629545843
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001476 Issued in NY
Practice address
62 Inwood Rd
Port Washington, NY 11050-1520
Phone
(515) 754-8968
NPI assigned
Oct 25, 2018
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001476 NY Primary

Addresses

Primary practice location

62 Inwood Rd
Port Washington, NY 11050-1520

Mailing address

62A Inwood Rd
Port Washington, NY 11050-1580
Phone (516) 754-8968

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
I20250325002556 NY Practitioner - Marriage and Family Therapist 8325561905 Practice locations: Port Washington, NY

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

62 A Inwood Rd
Port Washington, NY 11050-1580
Phone (516) 754-8968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1629545843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62A INWOOD RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501580",
            "telephone_number": "516-754-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 INWOOD RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501520",
            "telephone_number": "515-754-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "RONI-SUE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

Verify at the official NPI Registry.