Individual provider Active NPI

Sean Tendler, LMHC

  • Mental Health Counselor
  • Commack, NY
National Provider Identifier
1649787672
Registry record updated Dec 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
008417 Issued in NY
Practice address
368 Veterans Memorial Hwy Ste 3
Commack, NY 11725-4322
Phone
(631) 533-0315
Fax
(855) 752-5170
NPI assigned
Dec 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 008417 NY 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
Phone (631) 268-4099

Other practice location 1

380 N Broadway Ph E
Jericho, NY 11753-2198
Phone (631) 533-0315

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
I20240925001958 NY Practitioner - Mental Health Counselor 3577004928 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sean Tendler Mental Health Counseling, P.C. Mental Health CurrentSince Aug 13, 2024 Accepting new patients

Locations

600 Johnson Ave
Ste C5
Bohemia, NY 11716
Phone (631) 533-0315

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

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

65 Air Park Dr
Ste 10
Ronkonkoma, NY 11779
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": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764979200000",
    "number": "1649787672",
    "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",
            "telephone_number": "631-268-4099"
        },
        {
            "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",
            "fax_number": "855-752-5170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 N Broadway Ph E",
            "address_purpose": "LOCATION",
            "city": "Jericho",
            "state": "NY",
            "postal_code": "117532198",
            "country_code": "US",
            "telephone_number": "631-533-0315",
            "fax_number": "855-752-5170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TENDLER",
        "first_name": "SEAN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-28",
        "last_updated": "2025-12-06",
        "certification_date": "2025-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.