NPIMap

Organization Active NPI

Biofeedback, Mental Health Counseling and Creative Arts Therapy, PLLC

  • Mental Health Counselor
  • Lynbrook, NY
National Provider Identifier
1851896997
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BIOFEEDBACK, MENTAL HEALTH COUNSELING AND CREATIVE ARTS THERAPY, PLLC
Practice address
211 Broadway Ste 207
Lynbrook, NY 11563-3290
Phone
(516) 825-6567
Fax
(516) 825-6567
NPI assigned
Mar 29, 2018
Last updated
Mar 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Ms. Susan Antelis, M.P.S., LMHCNPI 1699860940
Title
President
Phone
(516) 825-6567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

211 Broadway Ste 207
Lynbrook, NY 11563-3290

Mailing address

211 Broadway Ste 207
Lynbrook, NY 11563-3290
Phone (516) 825-6567

Other practice location 1

1115 Broadway Fl 11
New York, NY 10010-3400
Phone (516) 825-6567

Other identifiers 1

IdentifierTypeStateIssuer
1699860940OtherNYNATIONAL PROVIDER IDENTIFIER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1851896997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BROADWAY STE 207",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633290",
            "telephone_number": "516-825-6567",
            "fax_number": "516-825-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BROADWAY STE 207",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633290",
            "telephone_number": "516-825-6567",
            "fax_number": "516-825-6567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 Broadway Fl 11",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100103400",
            "country_code": "US",
            "telephone_number": "516-825-6567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BIOFEEDBACK, MENTAL HEALTH COUNSELING AND CREATIVE ARTS THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "ANTELIS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-825-6567",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.P.S., LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFIER",
            "identifier": "1699860940",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.