Stephen Tita, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

013791 Issued in NY

Practice address

350 Jericho Tpke Ste 103
Jericho, NY 11753-1317

Phone

(516) 639-0684

NPI assigned

Nov 20, 2023

Last updated

Nov 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Long Island Medical Services P.C.

  • Internal Medicine Physician
  • Syosset, NY
  • NPI 1841443538
  NPD
• Senior Care Therapy LCSW of New York PLLC

  • Clinical Social Worker
  • Flushing, NY
  • NPI 1932677168

  Mental Health

  NPD
• Hematology and Oncology of Li PLLC

  • Hematology & Oncology Physician
  • Massapequa, NY
  • NPI 1629275938
  NPD (past)

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1801661921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WRIGHT ROAD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "11570",
            "telephone_number": "516-639-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 JERICHO TPKE STE 103",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531317",
            "telephone_number": "516-639-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITA",
        "first_name": "STEPHEN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teladietitian
• Natasha A Tellechea, M.D.
• Robert Thaler, DDS
• Sandee Thau, R.N.
• The Brain Boosters, Inc. (LearningRx Jericho)
• Toledo Clinic Incorporated
• Jillian Toline, M.A., CCC-SLP
• Jeslin Anna Tomichen
• Tri State Medical Sales Consultants Inc.
• Adrianna Tsioros

• Mental Health Counselor in Jericho, NY
• Providers in Jericho, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.