Individual provider Active NPI

Michael Longobardi, LMHC, CASAC

  • Mental Health Counselor
  • Roslyn Heights, NY
National Provider Identifier
1801311287
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010052 Issued in NY
Practice address
142 Mineola Ave Ste 2I
Roslyn Heights, NY 11577-2022
Phone
(516) 317-8457
NPI assigned
Aug 7, 2017
Last updated
Dec 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 28195 NY
Mental Health Counselor 101YM0800X 010052 NY Primary

Addresses

Primary practice location

142 Mineola Ave Ste 2I
Roslyn Heights, NY 11577-2022

Mailing address

142 Mineola Ave Ste 2I
Roslyn Heights, NY 11577-2022
Phone (516) 317-8457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28195NYMDAddiction (Substance Use Disorder) Counselor
010052NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Access Mental Health Counseling, PLLC Current Accepting new patients

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": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1801311287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 MINEOLA AVE STE 2I",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772022",
            "telephone_number": "516-317-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 MINEOLA AVE STE 2I",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772022",
            "telephone_number": "516-317-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGOBARDI",
        "first_name": "MICHAEL",
        "credential": "LMHC, CASAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-07",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "28195",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.