Individual provider Active NPI

Julie Bakalor, MPS, MS

  • Counselor
  • Huntington, NY
National Provider Identifier
1760579205
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
000489 Issued in NY
Practice address
177 Main St
Suite 201
Huntington, NY 11743-6917
Phone
(631) 423-1056
Fax
(516) 868-9579
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 000489 NY Primary

Addresses

Primary practice location

177 Main St
Suite 201
Huntington, NY 11743-6917

Mailing address

2629 Merrick Ave
Merrick, NY 11566-4636
Phone (516) 868-9665

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
I20240507000432 NY Practitioner - Mental Health Counselor 3375983448 Practice locations: Huntington, NY

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

177 Main St
Suite 201
Huntington, NY 11743-6917
Phone (631) 423-1056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000489NYMDCounselor

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760579205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664636",
            "telephone_number": "516-868-9665",
            "fax_number": "516-868-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 MAIN ST",
            "address_2": "SUITE 201",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436917",
            "telephone_number": "631-423-1056",
            "fax_number": "516-868-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKALOR",
        "first_name": "JULIE",
        "credential": "MPS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "000489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.