Active NPI
Kevin Sustad Mental Health Counseling, PLLC
- Mental Health Counselor
- East Islip, NY
National Provider Identifier
1912818907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- KEVIN SUSTAD MENTAL HEALTH COUNSELING, PLLC
- Practice address
- 15 Adams St E
East Islip, NY 11730-1616 - Phone
- (516) 216-9372
- Fax
- (844) 987-0439
- NPI assigned
- Sep 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kevin Michael Sustad, LMHC
- Title
- Licensed Mental Health Counselor
- Phone
- (516) 941-7504
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
15 Adams St E
East Islip, NY 11730-1616
Mailing address
15 Adams St E
East Islip, NY 11730-1616
Phone (516) 216-9372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789516800000",
"number": "1912818907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 ADAMS ST E",
"city": "EAST ISLIP",
"state": "NY",
"postal_code": "117301616",
"telephone_number": "516-216-9372",
"fax_number": "844-987-0439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 ADAMS ST E",
"city": "EAST ISLIP",
"state": "NY",
"postal_code": "117301616",
"telephone_number": "516-216-9372",
"fax_number": "844-987-0439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEVIN SUSTAD MENTAL HEALTH COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A",
"authorized_official_last_name": "SUSTAD",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
"authorized_official_telephone_number": "516-941-7504",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.