Individual provider Active NPI

Barbel Paredes

  • Mental Health Counselor
  • Glen Cove, NY
National Provider Identifier
1639559669
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009308-1 Issued in NY
Practice address
8 Landing Rd
Glen Cove, NY 11542-2414
Phone
(347) 564-6872
NPI assigned
Jun 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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
Mental Health Counselor 101YM0800X 009308-1 NY Primary

Addresses

Primary practice location

8 Landing Rd
Glen Cove, NY 11542-2414

Mailing address

8 Landing Rd
Street Address 2
Glen Cove, NY 11542
Phone (347) 564-6872

Other practice location 1

28 E Old Country Rd
Hicksville, NY 11801
Phone (347) 564-6872

Other identifiers 1

IdentifierTypeStateIssuer
14448901OtherNYCAQH

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
I20260413002516 NY Practitioner - Mental Health Counselor 7911472311 Practice locations: Glen Cove, NY

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Mercy College, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Glen Cove, NY 11542
Phone (347) 564-6872

50 Glen St
Glen Cove, NY 11542-4304
Phone (347) 564-6872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009308-1NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1639559669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LANDING RD",
            "address_2": "STREET ADDRESS 2",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "11542",
            "telephone_number": "347-564-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LANDING RD",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422414",
            "telephone_number": "347-564-6872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 E Old Country Rd",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "11801",
            "country_code": "US",
            "telephone_number": "347-564-6872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAREDES",
        "first_name": "BARBEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009308-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14448901",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.