Individual provider Active NPI

Lauren Jukofsky, LCSW

  • Professional Counselor
  • Oceanside, NY
National Provider Identifier
1871101949
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
081142-1 Issued in NY
Practice address
3678 Oceanside Rd W Ste 102
Oceanside, NY 11572-5981
Phone
(516) 986-7030
NPI assigned
Jul 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 081142-1 NY Primary

Addresses

Primary practice location

3678 Oceanside Rd W Ste 102
Oceanside, NY 11572-5981

Mailing address

3678 Oceanside Rd W Ste 102
Oceanside, NY 11572-5981
Phone (516) 986-7030

Other practice location 1

2749 Brook Ave
Oceanside, NY 11572-2034
Phone (516) 986-7030

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

State licenses

LicenseStateTypeSpecialty
081142-1NYMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1871101949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3678 OCEANSIDE RD W STE 102",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725981",
            "telephone_number": "516-986-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3678 OCEANSIDE RD W STE 102",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725981",
            "telephone_number": "516-986-7030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2749 Brook Ave",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "NY",
            "postal_code": "115722034",
            "country_code": "US",
            "telephone_number": "516-986-7030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUKOFSKY",
        "first_name": "LAUREN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "081142-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.