Active NPI
Tina Flanagan Licensed Mental Health Counselor P.C.
- Adult Mental Health Clinic/Center
- Islandia, NY
National Provider Identifier
1700420767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- TINA FLANAGAN LICENSED MENTAL HEALTH COUNSELOR P.C.
- Practice address
- 1777 Veterans Memorial Hwy Ste 14
Islandia, NY 11749-1555 - Phone
- (631) 630-6439
- Fax
- (631) 630-6440
- NPI assigned
- Nov 3, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tina Flanagan, LMHC
- Title
- President
- Phone
- (631) 627-4694
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
1777 Veterans Memorial Hwy Ste 14
Islandia, NY 11749-1555
Mailing address
4 Paddock LN
Medford, NY 11763-4098
Phone (631) 627-4694
Other practice location 1
94 Medford Avenue
Patchogue, NY 11772-1232
Phone (631) 627-4694
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001254125 | Medicaid | NY |
Other names 1
- True Inspiration Counseling
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.trueinspirationcounseling.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240603001280 | NY | Part B Supplier - Clinic/Group Practice | 7315489663 |
Receives reassigned benefits from 3 practitioners Practice locations: Islandia, NY; Patchogue, NY |
National Provider Directory
National Provider DirectoryLocations
94 Medford Ave
Patchogue, NY 11772
Phone (631) 213-9882
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Patchogue, NY
- NPI 1144181512
-
- Mental Health Counselor
- Patchogue, NY
- NPI 1861320442
-
- Clinical Social Worker
- Southold, NY
- NPI 1104005750
-
- Social Worker
- Bay Shore, NY
- NPI 1427419571
-
- Social Worker
- Bay Shore, NY
- NPI 1134507304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730246400000",
"number": "1700420767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 PADDOCK LN",
"city": "MEDFORD",
"state": "NY",
"postal_code": "117634098",
"telephone_number": "631-627-4694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 VETERANS MEMORIAL HWY STE 14",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117491555",
"telephone_number": "631-630-6439",
"fax_number": "631-630-6440"
}
],
"practiceLocations": [
{
"address_1": "94 Medford Avenue",
"address_purpose": "LOCATION",
"city": "Patchogue",
"state": "NY",
"postal_code": "117721232",
"country_code": "US",
"telephone_number": "631-627-4694",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TINA FLANAGAN LICENSED MENTAL HEALTH COUNSELOR P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-03",
"last_updated": "2024-10-30",
"certification_date": "2024-10-24",
"status": "A",
"authorized_official_last_name": "FLANAGAN",
"authorized_official_first_name": "TINA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-627-4694",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001254125",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.trueinspirationcounseling.com",
"affiliation": "N",
"endpointDescription": "Website",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1777 Veterans Memorial Hwy Ste 14",
"city": "Islandia",
"state": "NY",
"country_code": "US",
"postal_code": "117491555",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "True Inspiration Counseling",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "True Inspiration Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Islandia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.