Individual provider Active NPI

Connie Toala

  • Mental Health Counselor
  • Garden City, NY
National Provider Identifier
1881136083
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
011174-01 Issued in NY
Practice address
585 Stewart Ave
Garden City, NY 11530-4783
Phone
(516) 280-7285
NPI assigned
Nov 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 011174-01 NY Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

585 Stewart Ave
Garden City, NY 11530-4783

Mailing address

585 Stewart Ave Ste 700
Garden City, NY 11530-4785

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
011174-01NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
J.Corea Mental Health Counseling PC Single Specialty CurrentSince Nov 21, 2021 Accepting new patients

Locations

585 Stewart Ave
Ste 700
Garden City, NY 11530
Phone (516) 280-7285

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": "1478390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1881136083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 STEWART AVE STE 700",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 STEWART AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304783",
            "telephone_number": "516-280-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOALA",
        "first_name": "CONNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-06",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011174-01",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.