Organization Active NPI

Cardinal Mental Health Counseling, PLLC

  • Mental Health Counselor
  • Port Jefferson, NY
National Provider Identifier
1689543555
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CARDINAL MENTAL HEALTH COUNSELING, PLLC
Practice address
407 E Main St Ste 2
Port Jefferson, NY 11777-1865
Phone
(631) 846-0256
NPI assigned
Oct 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Authorized official

Name
Lindsay Herzog, LMHCNPI 1033676333
Title
Owner/Single Member
Phone
(631) 432-9677

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

407 E Main St Ste 2
Port Jefferson, NY 11777-1865

Mailing address

407 E Main St Ste 2
Port Jefferson, NY 11777-1865
Phone (631) 846-0256

National Provider Directory

National Provider Directory

Locations

407 E Main St
Ste 2
Port Jefferson, NY 11777
Phone (631) 202-9234

Practitioners & affiliated clinicians

Practitioners 2

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": "1761782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1689543555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E MAIN ST STE 2",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771865",
            "telephone_number": "631-846-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E MAIN ST STE 2",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771865",
            "telephone_number": "631-846-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "OWNER/SINGLE MEMBER",
        "authorized_official_telephone_number": "631-432-9677",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.