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
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
- East Rockaway Neuropsychology, PC
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240104004470 | NY | Practitioner - Mental Health Counselor | 2668823519 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35491 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 011922 | NY | MD | Mental Health Counselor |
| 37PC00819300 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Rockaway Neuropsychology, PC | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 providers in East Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.