Individual provider Active NPI

Carrie Sollin, MA, LMHC

  • Mental Health Counselor
  • Rockville Centre, NY
National Provider Identifier
1841578861
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000589-1 Issued in NY
Practice address
127 Bulson Rd
Rockville Centre, NY 11570-1202
Phone
(516) 547-2688
NPI assigned
Jul 25, 2011
Last updated
Jul 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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 000589-1 NY Primary

Addresses

Primary practice location

127 Bulson Rd
Rockville Centre, NY 11570-1202

Mailing address

35 Tredwell Ave
Lynbrook, NY 11563-3434
Phone (516) 547-2688

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
I20240705001830 NY Practitioner - Mental Health Counselor 5193269884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triangle Cognitive Therapy LCSW PLLCGroup PAC ID 7315270204, 6 clinicians

Practice addresses (Care Compare)

119 N Park Ave
Suite 306
Rockville Centre, NY 11570-4113
Phone (516) 208-3792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
000589-1NYMDPsychoanalyst
000589NYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Cognitive Therapy, LCSW, PLLC CurrentSince Jun 25, 2024 Accepting new patients

Locations

119 N Park Ave
Ste 306
Rockville Centre, NY 11570
Phone (516) 208-3792

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": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1841578861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 TREDWELL AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633434",
            "telephone_number": "516-547-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 BULSON RD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701202",
            "telephone_number": "516-547-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLLIN",
        "first_name": "CARRIE",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000589-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.