Active NPI
Jonathan Procter, PHD
- Professional Counselor
- Rockville Centre, NY
National Provider Identifier
1891163804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 007837
- Practice address
- 100 N Village Ave Ste 18
Rockville Centre, NY 11570-3712 - Phone
- (917) 520-9366
- NPI assigned
- Sep 8, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 74384 | TX | |
| Counseling Psychologist | 103TC1900X | 007837 | NY | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 007837 | NY | |
| Professional Counselor | 101YP2500X | 007837 | NY | Primary |
Addresses
Primary practice location
100 N Village Ave Ste 18
Rockville Centre, NY 11570-3712
Mailing address
100 N Village Ave Ste 18
Rockville Centre, NY 11570-3712
Phone (917) 520-9366
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241009002046 | NY | Practitioner - Mental Health Counselor | 5193256543 | Practice locations: Rockville Centre, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Ohio University, College of Osteopathic Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
55 Front St
Suite 10
Rockville Centre, NY 11570-4040
Phone (631) 877-9301
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74384 | TX | MD | Professional Counselor |
| 007837 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheila H. Chiffriller, PHD, Psychologist, PLLC | Counseling | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
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 and National Provider Directory roles.
-
- Counseling Psychologist
- Rockville Centre, NY
- NPI 1477127223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1891163804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N VILLAGE AVE STE 18",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115703712",
"telephone_number": "917-520-9366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N VILLAGE AVE STE 18",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115703712",
"telephone_number": "917-520-9366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROCTER",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-08",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "74384",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NY",
"license": "007837",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "007837",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NY",
"license": "007837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville Centre, NY
- Christine Teresa Prete, LMFT
- Kathleen Mary Preziosa, L.M.T
- Eric M Price, MD
- Ronald A. Primis, M.D.
- Prine Health Medical Group, PLLC
- Professional Occupational & Physical Therapy, PLLC
- Professional Occupational & Physical Therapy, PLLC
- Professional Orthopedic and Sports Physical Therapy, PC
- Prohealth Dental PLLC
- Protera Specialty Pharmacy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.