Individual provider Active NPI

Renae Flammia, LMHC

  • Mental Health Counselor
  • East Elmhurst, NY
National Provider Identifier
1679969901
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
006759 Issued in NY
Practice address
2626 75TH St
Lexington Center for the Deaf
East Elmhurst, NY 11370-1427
Phone
(718) 350-3058
NPI assigned
Apr 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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 006759 NY Primary

Addresses

Primary practice location

2626 75TH St
Lexington Center for the Deaf
East Elmhurst, NY 11370-1427

Mailing address

54 McCord PL
Bethpage, NY 11714-3514

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
I20240207002856 NY Practitioner - Mental Health Counselor 2769825637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunrise Counseling Center,LTDGroup PAC ID 8224210232, 20 clinicians

Practice addresses (Care Compare)

107 W Main St
East Islip, NY 11730-2337
Phone (631) 666-1615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Counseling Center,LTD CurrentSince Jan 1, 2024 Accepting new patients

Locations

107 W Main St
East Islip, NY 11730
Phone (631) 666-1615

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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1679969901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MCCORD PL",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 75TH ST",
            "address_2": "LEXINGTON CENTER FOR THE DEAF",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701427",
            "telephone_number": "718-350-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAMMIA",
        "first_name": "RENAE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.