Individual provider Active NPI

Lisa Nicole Wilhelmy, MS, MHC-LP

  • Mental Health Counselor
  • Oakdale, NY
National Provider Identifier
1891499364
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P14858 Issued in NY
Practice address
405 Locust Ave
Oakdale, NY 11769-1651
Phone
(631) 868-1244
Fax
(631) 567-1648
NPI assigned
Mar 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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 P14858 NY Primary

Addresses

Primary practice location

405 Locust Ave
Oakdale, NY 11769-1651

Mailing address

405 Locust Ave
Oakdale, NY 11769-1651
Phone (631) 879-8154

Other names 1

  • Lisa Nicole Hengge Former name

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
I20250224001732 NY Practitioner - Mental Health Counselor 1254851025 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
P14858NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Residences & Essential Enterprises, Inc. Current Accepting new patients
Family Residences and Essential Enterprises, Inc. CurrentSince Dec 21, 2024 Accepting new patients

Locations

405 Locust Ave
Oakdale, NY 11769
Phone (631) 567-3320

191 Bethpage Sweet Hollow Rd
Old Bethpage, NY 11804
Phone (516) 870-1665

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1891499364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 LOCUST AVE",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691651",
            "telephone_number": "631-879-8154",
            "fax_number": "631-567-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LOCUST AVE",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691651",
            "telephone_number": "631-868-1244",
            "fax_number": "631-567-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHELMY",
        "first_name": "LISA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MS, MHC-LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P14858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HENGGE",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakdale, NY

Sources for this page

Verify at the official NPI Registry.