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KENDALL BIERMAN LMHC
NPI 1215400064
Counselor - Mental Health in Patchogue, NY

Active since January 04, 2019Opted out of Medicare · through Apr 20, 2027
1 VILLAGE GRN # 324, PATCHOGUE, NY 11772(973) 590-1002 Get Directions Write a Review

NPPES record last updated: October 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2024, Jan 4, 2019 (2 updates tracked since 2019).

About Kendall Bierman Lmhc NPPES

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

KENDALL BIERMAN LMHC (NPI 1215400064) is an individual mental health provider in Patchogue, New York, licensed in New York (014972) and active in the NPI registry since January 2019. She has opted out of Medicare through April 20, 2027 and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1215400064
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKENDALL BIERMANCredential: LMHC
Location Address1 VILLAGE GRN # 324Patchogue, NY 11772-3080
Mailing Address1 Village Grn # 324Patchogue, NY 11772-3080 · (973) 590-1002
Phone(973) 590-1002
Sole ProprietorNo
Enumeration DateJanuary 4, 2019
Last NPPES UpdateOctober 20, 20242 updates tracked since enumeration
NPPES CertifiedOctober 20, 2024
✔ NPI 1215400064 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 · 014972
1 VILLAGE GRN # 324, Patchogue, NY 11772
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Secondary Practice Location 1

Location 1303 5th Ave Rm 1909New York, NY 10016-6658 · Phone (212) 545-9901

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kendall Bierman Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 20, 2025 through April 20, 2027.

Opt-Out Effective DateApril 20, 2025
Opt-Out In Effect ThroughApril 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Kendall Bierman's NPI number?

The NPI number for Kendall Bierman is 1215400064. It was assigned to this individual provider in the NPPES registry on January 4, 2019.

Where is Kendall Bierman located?

Kendall Bierman practices at 1 Village Grn # 324, Patchogue, NY 11772. The listed phone number is (973) 590-1002.

What is Kendall Bierman's specialty?

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

Is Kendall Bierman enrolled in Medicare?

No. Kendall Bierman has opted out of Medicare through April 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kendall Bierman was last updated on October 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.