Active NPI
Jacqueline E King-Presant, MA ED.
- Counselor
- Aquebogue, NY
National Provider Identifier
1831451400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1197149
- Practice address
- 19 Foxtrail CT.
Aquebogue, NY 11931 - Phone
- (631) 766-6539
- NPI assigned
- Jun 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1197149 | NY | Primary |
Addresses
Primary practice location
19 Foxtrail CT.
Aquebogue, NY 11931
Mailing address
PO Box 83
Aquebogue, NY 11931
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1197149 | NY | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500249600000",
"number": "1831451400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 83",
"city": "AQUEBOGUE",
"state": "NY",
"postal_code": "11931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 FOXTRAIL CT.",
"city": "AQUEBOGUE",
"state": "NY",
"postal_code": "11931",
"telephone_number": "631-766-6539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING-PRESANT",
"first_name": "JACQUELINE",
"middle_name": "E",
"name_prefix": "Miss",
"credential": "MA ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-11",
"last_updated": "2017-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NY",
"license": "1197149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aquebogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.