Individual provider Active NPI

Joseph Matthew Dilaurenzio, LMHC,LPC, NCC,CASAC

  • Counselor
  • East Rockaway, NY
National Provider Identifier
1972148997
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1095059
Practice address
426 Atlantic Ave
East Rockaway, NY 11518-1431
Phone
(516) 341-6215
NPI assigned
Nov 13, 2019
Last updated
Feb 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1095059 Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 35491 NY
Mental Health Counselor 101YM0800X 011922 NY
Professional Counselor 101YP2500X 37PC00819300 NJ

Addresses

Primary practice location

426 Atlantic Ave
East Rockaway, NY 11518-1431

Mailing address

40 Cross Rd Apt 99
Matawan, NJ 07747-1109
Phone (631) 882-4298

Other practice location 1

98 Park Ave
Babylon, NY 11702-1709
Phone (631) 482-1200

Other practice location 2

368 Veterans Memorial Hwy
Commack, NY 11725-4322
Phone (631) 533-0315

Other names 1

  • Mr. Joseph M Dilaurenzio Other name

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
I20240104004470 NY Practitioner - Mental Health Counselor 2668823519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
East Rockaway Neuropsychology, PCGroup PAC ID 0547509739, 16 clinicians

Practice addresses (Care Compare)

100 Merrick Rd
Rockville Centre, NY 11570-4800
Phone (516) 341-6215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35491NYMDAddiction (Substance Use Disorder) Counselor
011922NYMDMental Health Counselor
37PC00819300NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
East Rockaway Neuropsychology, PC CurrentSince Jan 1, 2024 Accepting new patients

Locations

100 Merrick Rd
Ofc 510E
Rockville Ctr, NY 11570

100 Merrick Rd
Ste 510
Rockville Ctr, NY 11570
Phone (516) 341-6215

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1972148997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CROSS RD APT 99",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077471109",
            "telephone_number": "631-882-4298"
        },
        {
            "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": [
        {
            "address_1": "98 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Babylon",
            "state": "NY",
            "postal_code": "117021709",
            "country_code": "US",
            "telephone_number": "631-482-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "368 Veterans Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117254322",
            "country_code": "US",
            "telephone_number": "631-533-0315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILAURENZIO",
        "first_name": "JOSEPH",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LMHC,LPC, NCC,CASAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-13",
        "last_updated": "2022-02-03",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": "1095059",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "35491",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011922",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00819300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "DILAURENZIO",
            "middle_name": "M",
            "prefix": "MR.",
            "credential": "LMHC, LPC, NCC,CASAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Rockaway, NY

Sources for this page

Verify at the official NPI Registry.