NPIMap

Organization Active NPI

Modern Wellness Mental Health Counseling P.C.

  • Mental Health Counselor
  • Lynbrook, NY
National Provider Identifier
1760074900
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MODERN WELLNESS MENTAL HEALTH COUNSELING P.C.
Practice address
500 Merrick Rd
Lynbrook, NY 11563-2449
Phone
(516) 341-0097
Fax
(516) 341-0098
NPI assigned
Feb 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Authorized official

Name
Bianca Posa, LMHCNPI 1376163287
Title
Owner
Phone
(516) 659-1265

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

500 Merrick Rd
Lynbrook, NY 11563-2449

Mailing address

500 Merrick Rd
Lynbrook, NY 11563-2449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250122000325 NY Part B Supplier - Clinic/Group Practice 0042749913 Receives reassigned benefits from 1 practitioner
Practice locations: Lynbrook, NY

National Provider Directory

National Provider Directory

Locations

120 7th St
Ste 203B
Garden City, NY 11530
Phone (516) 341-0097

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1760074900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MERRICK RD",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MERRICK RD",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632449",
            "telephone_number": "516-341-0097",
            "fax_number": "516-341-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN WELLNESS MENTAL HEALTH COUNSELING P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "POSA",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-659-1265",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.