Individual provider Active NPI

Lynda Phillips, LCMHC, NCC

  • Mental Health Counselor
  • Fresh Meadows, NY
National Provider Identifier
1750845285
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
D007554-1 Issued in NY
Practice address
6118 190TH St Ste 236
Fresh Meadows, NY 11365-2724
Phone
(917) 692-1459
NPI assigned
Jan 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X D0075541 NY
Mental Health Counselor 101YM0800X D007554-1 NY Primary

Addresses

Primary practice location

6118 190TH St Ste 236
Fresh Meadows, NY 11365-2724

Mailing address

4 Broad Path
Lloyd Harbor, NY 11743-9763
Phone (631) 470-2138

Other practice location 1

4 Broad Path
Lloyd Harbor, NY 11743-9763
Phone (917) 692-1459

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240228000325 NY Practitioner - Mental Health Counselor 2365887585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6118 190TH St
Suite 236
Fresh Meadows, NY 11365-2724
Phone (917) 692-1459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D007554-1NYMDMental Health Counselor
D0075541NYMDMental Health Counselor
007554NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Phillips Mental Health Counseling, P.C Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

6118 190th St
Ste 236
Fresh Meadows, NY 11365
Phone (917) 692-1459

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1750845285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BROAD PATH",
            "city": "LLOYD HARBOR",
            "state": "NY",
            "postal_code": "117439763",
            "telephone_number": "631-470-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6118 190TH ST STE 236",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652724",
            "telephone_number": "917-692-1459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Broad Path",
            "address_purpose": "LOCATION",
            "city": "Lloyd Harbor",
            "state": "NY",
            "postal_code": "117439763",
            "country_code": "US",
            "telephone_number": "917-692-1459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "LYNDA",
        "credential": "LCMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "D0075541",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "D007554-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

Verify at the official NPI Registry.