Organization Active NPI

Metro Psychotherapy Counseling LCSW PLLC

  • Clinical Social Worker
  • Huntington Station, NY
National Provider Identifier
1982362547
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
METRO PSYCHOTHERAPY COUNSELING LCSW PLLC
Practice address
259 Walt Whitman Rd
Huntington Station, NY 11746-4119
Phone
(516) 582-3515
NPI assigned
Dec 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Authorized official

Name
Lucas Mayrsohn, LCSWNPI 1376065896
Title
President
Phone
(516) 582-3515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

259 Walt Whitman Rd
Huntington Station, NY 11746-4119

Mailing address

14 Fox Hollow LN
Old Westbury, NY 11568-1331
Phone (516) 582-3515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220310001638 NY Part B Supplier - Clinic/Group Practice 2264827146 Receives reassigned benefits from 4 practitioners
Practice locations: Garden City, NY; Smithtown, NY; Selden, NY; Huntington Station, NY; Great Neck, NY; Bethpage, NY; Bellmore, NY; Amityville, NY

National Provider Directory

National Provider Directory

Locations

4080 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 738-4844

825 E Gate Blvd
Ste 205
Garden City, NY 11530
Phone (516) 738-4844

Practitioners & affiliated clinicians

Practitioners 6

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": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1982362547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 FOX HOLLOW LN",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "115681331",
            "telephone_number": "516-582-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 WALT WHITMAN RD",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464119",
            "telephone_number": "516-582-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO PSYCHOTHERAPY COUNSELING LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "MAYRSOHN",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-582-3515",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.