Organization Active NPI

Cori Bayardelle Mental Health Counselor PLLC

  • Mental Health Counselor
  • Manhasset, NY
National Provider Identifier
1982267100
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CORI BAYARDELLE MENTAL HEALTH COUNSELOR PLLC
Practice address
52 Aldershot LN
Manhasset, NY 11030-3716
Phone
(516) 946-6209
NPI assigned
Apr 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Authorized official

Name
Cori Bayardelle, LMHC
Title
Owner
Phone
(516) 946-6209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

52 Aldershot LN
Manhasset, NY 11030-3716

Mailing address

52 Aldershot LN
Manhasset, NY 11030-3716

Other practice location 1

515 Madison Ave Fl 21
New York, NY 10022-5433
Phone (516) 946-6209

Other identifiers 1

IdentifierTypeStateIssuer
009162OtherNYLMHC LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1982267100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 ALDERSHOT LN",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 ALDERSHOT LN",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303716",
            "telephone_number": "516-946-6209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Madison Ave Fl 21",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100225433",
            "country_code": "US",
            "telephone_number": "516-946-6209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORI BAYARDELLE MENTAL HEALTH COUNSELOR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "BAYARDELLE",
        "authorized_official_first_name": "CORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-946-6209",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC LICENSE",
            "identifier": "009162",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.