Individual provider Active NPI

Elizabeth Camp Geiling, MSED

  • Mental Health Counselor
  • Mineola, NY
National Provider Identifier
1871778274
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
573 Issued in NY
Practice address
132 Jefferson Ave
Mineola, NY 11501-2712
Phone
(516) 741-0994
NPI assigned
Jan 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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 573 NY Primary

Addresses

Primary practice location

132 Jefferson Ave
Mineola, NY 11501-2712

Mailing address

2 Concordia PL
Bronxville, NY 10708-1802
Phone (914) 779-2878

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
I20240819002643 NY Practitioner - Mental Health Counselor 9830637073 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
573NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Pastoral Counseling Ministry Inc CurrentSince May 14, 2024 Accepting new patients

Locations

172 White Plains Rd
Bronxville, NY 10708
Phone (516) 741-0994

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

2504 Broadway
New York, NY 10025
Phone (516) 741-0994

3357 58th St
Woodside, NY 11377
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, 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": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1871778274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CONCORDIA PL",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107081802",
            "telephone_number": "914-779-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 JEFFERSON AVE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012712",
            "telephone_number": "516-741-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEILING",
        "first_name": "ELIZABETH",
        "middle_name": "CAMP",
        "name_prefix": "Mrs.",
        "credential": "MSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.