Individual provider Active NPI

Ronald Wayne Lehenbauer, DMIN

  • Marriage & Family Therapist
  • Mineola, NY
National Provider Identifier
1841328945
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000375 Issued in NY
Practice address
132 Jefferson Avenue
Mineola, NY 11501
Phone
(516) 741-0994
Fax
(516) 742-5396
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000375 NY Primary

Addresses

Primary practice location

132 Jefferson Avenue
Mineola, NY 11501

Mailing address

150 12 28TH Avenue
Flushing, NY 11354-1550
Phone (718) 359-7022

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
I20241016000994 NY Practitioner - Marriage and Family Therapist 1456883487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Lutheran Pastoral Counseling Ministry IncGroup PAC ID 0749608032, 5 clinicians

Practice addresses (Care Compare)

132 Jefferson Ave
Mineola, NY 11501-2712
Phone (516) 741-0994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000375NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Pastoral Counseling Ministry Inc CurrentSince Jul 11, 2024 Accepting new patients

Locations

132 Jefferson Ave
Mineola, NY 11501
Phone (516) 741-0994

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841328945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 12 28TH AVENUE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541550",
            "telephone_number": "718-359-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 JEFFERSON AVENUE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "11501",
            "telephone_number": "516-741-0994",
            "fax_number": "516-742-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEHENBAUER",
        "first_name": "RONALD",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.