Individual provider Active NPI

Ashley Goldstein

  • Mental Health Counselor
  • Babylon, NY
National Provider Identifier
1962189019
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P120909 Issued in NY
Practice address
60 Fire Island Ave Ste 102
Babylon, NY 11702-3502
Phone
(631) 434-5830
NPI assigned
Jun 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 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 P120909 NY Primary

Addresses

Primary practice location

60 Fire Island Ave Ste 102
Babylon, NY 11702-3502

Mailing address

22 Farmers Ave
Bethpage, NY 11714-1307
Phone (516) 719-0128

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

State licenses

LicenseStateTypeSpecialty
P120909NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Mental Health Counseling Services, PLLC Mental Health CurrentSince Jul 2, 2023 Accepting new patients
Affirm Mental Health Counseling, PLLC. Current Accepting new patients

Locations

60 Fire Island Ave
Ste 102
Babylon, NY 11702
Phone (516) 817-9581

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": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1962189019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 FARMERS AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117141307",
            "telephone_number": "516-719-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FIRE ISLAND AVE STE 102",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023502",
            "telephone_number": "631-434-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "ASHLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P120909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.