Organization Active NPI

Kevin Sustad Mental Health Counseling, PLLC

  • Mental Health Counselor
  • East Islip, NY
National Provider Identifier
1912818907
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Sep 16, 2026

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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.

Verify at the official NPI Registry.