Nicole J Piervencenti, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

005911-1 Issued in NY

Practice address

348 Main St
Setauket, NY 11733-3800

Phone

(631) 941-1200

Fax

(631) 941-1201

NPI assigned

Sep 1, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Passages Wellness & Counseling for Women

  • Clinical Social Worker
  • Setauket, NY
  • NPI 1922416676
  NPD (past)

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

{
    "created_epoch": "1409529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409529600000",
    "number": "1700286366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MIDDLE RD",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117823221",
            "telephone_number": "917-282-2205",
            "fax_number": "631-941-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 MAIN ST",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117333800",
            "telephone_number": "631-941-1200",
            "fax_number": "631-941-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERVENCENTI",
        "first_name": "NICOLE",
        "middle_name": "J",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-01",
        "last_updated": "2014-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005911-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Passages Wellness & Counseling for Women
• Susmita Pati, M.D.
• Thomas Collin Patrie, D.D.S.
• Michele Perigaut, PH.D.
• Georgeanna Christina Piazza, LMT
• Allison M Pinard, M.A., ATC, EMT-B
• Nicole Paige Polimeni, PA-C
• Kimberly Ann Pope, FNP
• Port Jefferson Chiropractic Office PC
• Port Jefferson Emergency Medical Care

• Mental Health Counselor in Setauket, NY
• Providers in Setauket, 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 Sep 1, 2014; 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.