Individual provider Active NPI

Lynda Simon-Taylor, LMHC

  • Mental Health Counselor
  • Huntington, NY
National Provider Identifier
1770977449
Registry record updated Aug 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0065091 Issued in NY
Practice address
9 Donald LN
Huntington, NY 11743-5319
Phone
(631) 774-6826
NPI assigned
Mar 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 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 0065091 NY Primary

Addresses

Primary practice location

9 Donald LN
Huntington, NY 11743-5319

Mailing address

9 Donald LN
Huntington, NY 11743-5319
Phone (631) 774-6826

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
I20240509000739 NY Practitioner - Mental Health Counselor 0345681227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

108 S Franklin Ave
Valley Stream, NY 11580-6105
Phone (516) 303-9925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0065091NYMDMental Health Counselor
006509NYMDForensic Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Mental Health Counseling Services, PLLC Mental Health CurrentSince Feb 5, 2024 Accepting new patients
Lighthouse Mental Health Counseling, PC Mental Health Current Accepting new patients
Synergy Mental Health Counseling PastSince Jun 12, 2022 Accepting new patients

Locations

108 S Franklin Ave
Ste 3
Valley Stream, NY 11580
Phone (516) 303-9925

108 S Franklin Ave
Valley Stream, NY 11580
Phone (516) 303-9925

108 S Franklin Ave
Ste 4
Valley Stream, NY 11580
Phone (516) 303-9925

Organizations & group practices 3

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": "1426809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722643200000",
    "number": "1770977449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DONALD LN",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117435319",
            "telephone_number": "631-774-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 DONALD LN",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117435319",
            "telephone_number": "631-774-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON-TAYLOR",
        "first_name": "LYNDA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-20",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "0065091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.