Individual provider Active NPI

Robert A Ranieri, LMHC

  • Mental Health Counselor
  • Saint James, NY
National Provider Identifier
1962618256
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000095 Issued in NY
Practice address
83 Astor Ave
Saint James, NY 11780-3021
Phone
(631) 584-6961
Fax
(631) 584-3610
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 000095 NY Primary

Addresses

Primary practice location

83 Astor Ave
Saint James, NY 11780-3021

Mailing address

83 Astor Ave
Saint James, NY 11780-3021
Phone (631) 584-6961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20260204002749 FL Practitioner - Mental Health Counselor 4486561370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1370 Bedford Dr
Suite 102
Melbourne, FL 32940-1980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000095NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations Counseling, LLC. CurrentSince Dec 30, 2025 Accepting new patients

Locations

1370 Bedford Dr
Ste 102
Melbourne, FL 32940
Phone (321) 622-8104

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962618256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 ASTOR AVE",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117803021",
            "telephone_number": "631-584-6961",
            "fax_number": "631-584-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 ASTOR AVE",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117803021",
            "telephone_number": "631-584-6961",
            "fax_number": "631-584-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANIERI",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint James, NY

Sources for this page

Verify at the official NPI Registry.