Jill Rothar, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

008169 Issued in NY

Practice address

215 Islip Ave
Islip, NY 11751-3028

Phone

(631) 664-1582

NPI assigned

Sep 16, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 15, 2024 through Oct 15, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lifeworks Mental Health Counseling, PLLC

  • Community/Behavioral Health Agency
  • Islip, NY
  • NPI 1659980845
  NPD Authorized official

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1700255106",
    "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": {
        "last_name": "ROTHAR",
        "first_name": "JILL",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "008169",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael James Rivezzo, OTR/L
• Edna Rodriguez, RN
• Merary Romero
• Kailey E Rommel-Baker, CF-SLP
• Steven A Rosen, M.D.
• Julie Ruggiero, LMSW
• Linda M Rulon-Busch, MA,SPED,TSHH
• Suzanne M Russell, RN
• S&J Family Health NPS PLLC
• Janeen M Sabbatino Lettieri

• Mental Health Counselor in Islip, NY
• Providers in Islip, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.