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SOCIAL WORK FOR COUNSELING FOR INSPIRATIONAL LIVING LCSW PC
NPI 1164757787
Marriage & Family Therapist in Port Jefferson Station, NY

Active since October 15, 2009
6 ROOSEVELT AVE STE 2, PORT JEFFERSON STATION, NY 11776(631) 474-1533(631) 474-1533 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 16, 2019, Feb 18, 2016, Jan 30, 2016 (3 updates tracked since 2016).

About Social Work For Counseling For Inspirational Living Lcsw Pc NPPES

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

SOCIAL WORK FOR COUNSELING FOR INSPIRATIONAL LIVING LCSW PC (NPI 1164757787) is a healthcare organization registered as a marriage & family therapist in Port Jefferson Station, New York and active in the NPI registry since October 2009. The organization maintains a secondary practice location in Port Jefferson Station and lists Kenneth G. Lent, Owner, as its authorized official.

NPPES Registry Identity

NPI1164757787
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameSOCIAL WORK FOR COUNSELING FOR INSPIRATIONAL LIVING LCSW PC
Location Address6 ROOSEVELT AVE STE 2Port Jefferson Station, NY 11776-3364
Mailing Address6 Roosevelt Ave Ste 2Port Jefferson Station, NY 11776-3364 · (631) 474-1533 · Fax (631) 474-1533
Phone(631) 474-1533
Fax(631) 474-1533
Organization SubpartNo
Authorized OfficialKenneth G. LentOwner · (631) 474-1533
Enumeration DateOctober 15, 2009
Last NPPES UpdateMay 16, 20193 updates tracked since enumeration
✔ NPI 1164757787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in NY · R048202-1
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
6 ROOSEVELT AVE STE 2, Port Jefferson Station, NY 11776
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Secondary Practice Location 1

Location 1310 Hallock AvePort Jefferson Station, NY 11776-1298 · Phone (631) 474-1533 · Fax (631) 473-4334

Other Identifiers 1

Medicaid02364309NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Social Work For Counseling For Inspirational Living Lcsw Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Social Work For Counseling For Inspirational Living Lcsw PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kenneth Lent, LCSW
Clinical Social Worker
NPI 1437201498
6 ROOSEVELT AVE STE 2
Port Jefferson Station, NY 11776
(631) 474-1533
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Social Work For Counseling For Inspirational Living Lcsw PC's NPI number?

The NPI number for Social Work For Counseling For Inspirational Living Lcsw PC is 1164757787. It was assigned to this organization in the NPPES registry on October 15, 2009.

Where is Social Work For Counseling For Inspirational Living Lcsw PC located?

Social Work For Counseling For Inspirational Living Lcsw PC is located at 6 Roosevelt Ave Ste 2, Port Jefferson Station, NY 11776. The listed phone number is (631) 474-1533.

What is Social Work For Counseling For Inspirational Living Lcsw PC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Social Work For Counseling For Inspirational Living Lcsw PC enrolled in Medicare?

Yes. Social Work For Counseling For Inspirational Living Lcsw PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Social Work For Counseling For Inspirational Living Lcsw PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Social Work For Counseling For Inspirational Living Lcsw PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Social Work For Counseling For Inspirational Living Lcsw PC was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.