Individual provider Active NPI

Rachel Hartman

  • Mental Health Counselor
  • Medford, NY
National Provider Identifier
1912359381
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1641 Route 112
Medford, NY 11763-3663
Phone
(631) 291-2385
NPI assigned
Jul 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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 NY Primary

Addresses

Primary practice location

1641 Route 112
Medford, NY 11763-3663

Mailing address

418 Broadway # 8454
Albany, NY 12207-2922
Phone (631) 291-2385

Other practice location 1

2100 Middle Country Rd Ste 203F
Centereach, NY 11720-3577
Phone (631) 291-2385

Other practice location 2

58 Celeste Ave
Holbrook, NY 11741-3743
Phone (631) 291-2385

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cosmos Mental Health Counseling LLP Mental Health CurrentSince Oct 20, 2024 Accepting new patients

Locations

418 Broadway
#8454
Albany, NY 12207

2100 Middle Country Rd
Ste 203F
Centereach, NY 11720
Phone (631) 291-2385

1641 Route 112
Medford, NY 11763
Phone (631) 447-0800

1641 Route 112
Ste C
Medford, NY 11763
Phone (631) 291-2385

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.

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1912359381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 BROADWAY # 8454",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122072922",
            "telephone_number": "631-291-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 ROUTE 112",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633663",
            "telephone_number": "631-291-2385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Middle Country Rd Ste 203F",
            "address_purpose": "LOCATION",
            "city": "Centereach",
            "state": "NY",
            "postal_code": "117203577",
            "country_code": "US",
            "telephone_number": "631-291-2385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "58 Celeste Ave",
            "address_purpose": "LOCATION",
            "city": "Holbrook",
            "state": "NY",
            "postal_code": "117413743",
            "country_code": "US",
            "telephone_number": "631-291-2385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.