Nikki Lee Rose Baldwin, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

012404 Issued in NY

Practice address

200 Carleton Ave Ste D
East Islip, NY 11730-1222

Phone

(631) 579-3503

NPI assigned

May 22, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• South Shore Mental Health Counseling Services,PC

  • Professional Counselor
  • East Islip, NY
  • NPI 1366890949
  NPD

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

{
    "created_epoch": "1653177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653177600000",
    "number": "1740928639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 GENEVA ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064635",
            "telephone_number": "631-942-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CARLETON AVE STE D",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117301222",
            "telephone_number": "631-579-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "NIKKI",
        "middle_name": "LEE ROSE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-22",
        "last_updated": "2022-05-22",
        "certification_date": "2022-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Audia, LCSW
• Andrew Robert Auguste, LPN
• Joseph Gerard Aurilia
• Kevin Gregory Baist, PHARMD
• Ryan George Baist, PHARM. D
• Lorraine G Ballou, LCSW
• Lauri Ann Balter, LCSW
• Amanda Elizabeth Barry
• Bay Family Medicine PLLC
• Laurie G Bedard, M.A., LA

• Mental Health Counselor in East Islip, NY
• Providers in East 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 May 22, 2022; 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.