Individual provider Active NPI

Ashley Villacis, MS

  • Mental Health Counselor
  • Glendale, NY
National Provider Identifier
1760726103
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
7915 Myrtle Ave
Glendale, NY 11385-7441
Phone
(917) 624-0124
NPI assigned
Nov 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 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 Primary

Addresses

Primary practice location

7915 Myrtle Ave
Glendale, NY 11385-7441

Mailing address

7915 Myrtle Ave
Glendale, NY 11385-7441
Phone (917) 624-0124

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
I20251027001818 NY Practitioner - Mental Health Counselor 4587153036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Counseling Therapeutic Services PLLCGroup PAC ID 3678062122, 2 clinicians

Practice addresses (Care Compare)

169 Commack Rd
Suite 382
Commack, NY 11725-3442
Phone (631) 815-2936

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Counseling Therapeutic Services PLLC Mental Health CurrentSince Aug 22, 2025 Accepting new patients
Multicultural Community Mental Health Center Inc Past Accepting new patients

Locations

169 Commack Rd
Ste 382
Commack, NY 11725
Phone (631) 815-2936

Organizations & group practices 2

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": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1760726103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7915 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857441",
            "telephone_number": "917-624-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7915 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857441",
            "telephone_number": "917-624-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLACIS",
        "first_name": "ASHLEY",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

Verify at the official NPI Registry.