Kathleen Ann Defilippo

Primary specialty

CounselorTaxonomy code 101Y00000X

License

P111947 Issued in NY

Practice address

405 Locust Ave
Oakdale, NY 11769-1651

Phone

(631) 868-1244

NPI assigned

Dec 26, 2021

Last updated

Dec 26, 2021By the provider in NPPES

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

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Residences and Essential Enterprises IncGroup PAC ID 5890687453, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Residences & Essential Enterprises, Inc.

  dba Family Wellness Center

  • Multi-Specialty Clinic/Center
  • Hauppauge, NY
  • NPI 1093863565
  Medicare reassignment Care Compare group NPD
• Family Residences and Essential Enterprises, Inc.

  dba Terry's Place

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Old Bethpage, NY
  • NPI 1497943757
  NPD

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

{
    "created_epoch": "1640476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640476800000",
    "number": "1730849290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 CAMBRIDGE DR",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763542",
            "telephone_number": "631-506-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LOCUST AVE",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691651",
            "telephone_number": "631-868-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFILIPPO",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-26",
        "last_updated": "2021-12-26",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "P111947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen D'Amico, OTR
• Valerie D'Antonio, SERVICE COORDINATOR
• Heather Leigh Dallas
• Christopher Dandona, RPA
• Rita Elizabeth Debiase, LCSW
• Dorianne Delgado
• Jennifer Marie Deshler, DPT
• Deborah Ann Dimarzo, LMT
• Lisa A. Dimitri, LCSW
• Arkadiusz N/a Dmochowski, OTA

• Counselor in Oakdale, NY
• Providers in Oakdale, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.