Individual provider Active NPI

Spencer Oliveira, LMHC

  • Mental Health Counselor
  • Mount Sinai, NY
National Provider Identifier
1801426663
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010030 Issued in NY
Practice address
5505 Nesconset Hwy Ste 222
Mount Sinai, NY 11766-2026
Phone
(631) 828-2264
NPI assigned
Jan 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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 010030 NY Primary

Addresses

Primary practice location

5505 Nesconset Hwy Ste 222
Mount Sinai, NY 11766-2026

Mailing address

5505 Nesconset Hwy Ste 222
Mount Sinai, NY 11766-2026
Phone (631) 828-2264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 26, 2024 through May 26, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
010030NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jeanette Lorandini, LCSW, PLLC CurrentSince Jun 2, 2024 Accepting new patients

Locations

5505 Nesconset Hwy
Ste 222
Mount Sinai, NY 11766
Phone (631) 821-8579

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1801426663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 NESCONSET HWY STE 222",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117662026",
            "telephone_number": "631-828-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 NESCONSET HWY STE 222",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117662026",
            "telephone_number": "631-828-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVEIRA",
        "first_name": "SPENCER",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Sinai, NY

Sources for this page

Verify at the official NPI Registry.