Nicole Deangelis, MS, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

015132 Issued in NY

Practice address

570 Taxter Rd Ste 640
Elmsford, NY 10523-2361

Phone

(631) 371-2974

NPI assigned

Sep 8, 2023

Last updated

Jul 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Lotus Mental Health Counseling PLLC

  • Mental Health Counselor
  • Elmsford, NY
  • NPI 1538029228
  Medicare reassignment NPD Authorized official
• Sean Tendler Mental Health Counseling, P.C.

  dba North Star Mental Health Counseling Services

  • Mental Health Counselor
  • Commack, NY
  • NPI 1437626025
  NPD

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1740067339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 TAXTER RD STE 640",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105232361",
            "telephone_number": "631-371-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 TAXTER RD STE 640",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105232361",
            "telephone_number": "631-371-2974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Air Park Dr Ste 10",
            "address_purpose": "LOCATION",
            "city": "Ronkonkoma",
            "state": "NY",
            "postal_code": "117797374",
            "country_code": "US",
            "telephone_number": "631-533-0315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "368 Veterans Memorial Hwy Ste 3",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117254322",
            "country_code": "US",
            "telephone_number": "631-533-0315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEANGELIS",
        "first_name": "NICOLE",
        "credential": "MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "015132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08401856",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Elmsford, NY
• Providers in Elmsford, 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 Jul 15, 2026; 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.