Christine Boccio, LMHC – Mental Health Counselor

Key facts

NPI: 1992015382
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: 004421 (NY)
Practice address: 13 Thompson Hay Path
Setauket, NY 11733-1317
Phone: (631) 751-0197
Fax: (631) 751-0244
NPI assigned: Oct 19, 2010
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Welllife Network Inc Case Management Agency · Elmont, NY · NPI 1508012816

NPD (past)
Shine Medical Providers PC Psychiatry Physician · Philadelphia, PA · NPI 1538894050

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
004421	NY	MD	Mental Health Counselor

Practice roles

Organization	Specialty	Status	New patients
Welllife Network Inc		Past	Accepting new patients
Shine Medical Providers PC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	004421	NY	Yes

Addresses

Primary practice location

13 Thompson Hay Path
Setauket, NY 11733-1317

Mailing address

13 Thompson Hay Path
Setauket, NY 11733-1317
Phone (631) 751-0197

Other providers in Setauket, NY

All providers in Setauket, NY · Mental Health Counselor in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.