Individual provider Active NPI

Rachel Lederman, MHC

  • Mental Health Counselor
  • East Rockaway, NY
National Provider Identifier
1912598798
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
013570 Issued in NY
Practice address
426 Atlantic Ave
East Rockaway, NY 11518-1431
Phone
(516) 341-6215
NPI assigned
Feb 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P106485 NY
Mental Health Counselor 101YM0800X 013570 NY Primary

Addresses

Primary practice location

426 Atlantic Ave
East Rockaway, NY 11518-1431

Mailing address

1 Harbor LN
East Quogue, NY 11942-4402
Phone (914) 497-8033

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
I20240202002116 NY Practitioner - Mental Health Counselor 3678926961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

139 Centre St
Suite 824
New York, NY 10013-4558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P106485NYMDMental Health Counselor
013570NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sincerely Me Mental Health Counseling PLLC Current Accepting new patients
Valera Medical, P.C. Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

134 N 4th St
Brooklyn, NY 11249

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

Organizations & group practices 2

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": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1912598798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HARBOR LN",
            "city": "EAST QUOGUE",
            "state": "NY",
            "postal_code": "119424402",
            "telephone_number": "914-497-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 ATLANTIC AVE",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181431",
            "telephone_number": "516-341-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDERMAN",
        "first_name": "RACHEL",
        "credential": "MHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P106485",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rockaway, NY

Sources for this page

Verify at the official NPI Registry.