NPIMap

Organization Active NPI

Lifeworks Mental Health Counseling, PLLC

  • Community/Behavioral Health Agency
  • Islip, NY
National Provider Identifier
1659980845
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIFEWORKS MENTAL HEALTH COUNSELING, PLLC
Practice address
215 Islip Ave
Islip, NY 11751-3028
Phone
(631) 664-1582
NPI assigned
Jul 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Jill Rothar, LMHCNPI 1700255106
Title
Owner/Clinical Director
Phone
(631) 664-1582

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

215 Islip Ave
Islip, NY 11751-3028

Mailing address

215 Islip Ave
Islip, NY 11751-3028
Phone (631) 664-1582

Other names 1

  • LifeWorks Mental Health Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

435 Main St
Ste 5
Islip, NY 11751
Phone (516) 458-6162

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1659980845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 ISLIP AVE",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513028",
            "telephone_number": "631-664-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 ISLIP AVE",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513028",
            "telephone_number": "631-664-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWORKS MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "ROTHAR",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "631-664-1582",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeWorks Mental Health Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LifeWorks Mental Health Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.