IRENE VICTORIA BAUTISTA LMHC
NPI 1114523479
Counselor - Mental Health in Commack, NY

Q: What is Irene Bautista's NPI number?

The NPI number for Irene Bautista is 1114523479. It was assigned to this individual provider in the NPPES registry on December 10, 2020.

Q: What is Irene Bautista's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Irene Bautista was last updated on September 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 10, 2020PECOS Enrolled

368 VETERANS MEMORIAL HWY STE 3, COMMACK, NY 11725(631) 533-0315 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2024, Jun 17, 2024, Dec 10, 2020 (3 updates tracked since 2020).

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About Irene Victoria Bautista Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IRENE VICTORIA BAUTISTA LMHC (NPI 1114523479) is an individual mental health provider in Commack, New York, licensed in New York (014852) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114523479

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameIRENE VICTORIA BAUTISTACredential: LMHC

Location Address368 VETERANS MEMORIAL HWY STE 3Commack, NY 11725-4322

Mailing Address368 Veterans Memorial Hwy Ste 3Commack, NY 11725-4322 · (631) 533-0315

Phone(631) 533-0315

Sole ProprietorYes

Enumeration DateDecember 10, 2020

Last NPPES UpdateSeptember 11, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2024

✔ NPI 1114523479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 014852

368 VETERANS MEMORIAL HWY STE 3, Commack, NY 11725

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Irene Victoria Bautista Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FARIAL ISLAM MHC-LP

Counselor (Mental Health)