Individual provider Active NPI

Olivia Frances Huckemeyer

  • Mental Health Counselor
  • Merrick, NY
National Provider Identifier
1760006761
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
015140 Issued in NY
Practice address
1813 Jerusalem Ave
Merrick, NY 11566-1446
Phone
(917) 202-7030
NPI assigned
Jun 4, 2020
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 015140 NY Primary

Addresses

Primary practice location

1813 Jerusalem Ave
Merrick, NY 11566-1446

Mailing address

1813 Jerusalem Ave
Merrick, NY 11566-1446
Phone (917) 202-7030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015140NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
J.Corea Mental Health Counseling PC CurrentSince Feb 13, 2025 Accepting new patients

Locations

585 Stewart Ave
Ste 700
Garden City, NY 11530
Phone (516) 280-7285

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

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1760006761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 JERUSALEM AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115661446",
            "telephone_number": "917-202-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 JERUSALEM AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115661446",
            "telephone_number": "917-202-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUCKEMEYER",
        "first_name": "OLIVIA",
        "middle_name": "FRANCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "015140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

Verify at the official NPI Registry.