Joseph Matthew Dilaurenzio, LMHC,LPC, NCC,CASAC

Individual provider Active NPI Counselor · East Rockaway, NY

NPI 1972148997 · NPPES record last updated Feb 3, 2022

Key facts

NPI
1972148997
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
License
1095059
Practice address
426 Atlantic Ave
East Rockaway, NY 11518-1431
Phone
(516) 341-6215
NPI assigned
Nov 13, 2019
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
East Rockaway Neuropsychology, PC (16 clinicians)

Practice addresses (Care Compare)

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240104004470 NY Practitioner - Mental Health Counselor 2668823519 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Rockaway Neuropsychology, PC Current
since 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

Specialties & licenses

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

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

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

Other practice location 2

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

Other names

  • Mr. Joseph M Dilaurenzio Other name

Other providers in East Rockaway, NY

All providers in East Rockaway, NY · Counselor in New York

Sources for this page

Verify at the official NPI Registry.