KIMBERLY VELAZQUEZ MA, LMHC
NPI 1336915313
Counselor - Mental Health in East Islip, NY
- Individual
- Female
- Counselor
- Mental Health
- Opted-Out Medicare
About KIMBERLY VELAZQUEZ
This page provides the complete NPI Profile along with additional information for Kimberly Velazquez, a provider established in East Islip, New York with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1336915313 assigned on November 2023. The practitioner's primary taxonomy code is 101YM0800X with license number 013980 (NY). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1336915313 Verify this NPI
- Provider Name
- KIMBERLY VELAZQUEZ MA, LMHC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 28 SIMMONS DR EAST ISLIP, NY 11730
- Location Phone
- (516) 256-9304
- Mailing Address
- 28 SIMMONS DR EAST ISLIP, NY 11730
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-30-2023
- Last Update Date
- 10-06-2025
- Code Navigator
A mental health counselor like Kimberly Velazquez provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kimberly Velazquez opted out of Medicare effective on 11-12-2024 until 11-12-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 013980
- License State
- NY
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 11-12-2024
Opt-Out End Date: 11-12-2026
Eligible to Order and Refer? No
Reviews for KIMBERLY VELAZQUEZ MA, LMHC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336915313, enumerated as an "individual" on November 30, 2023.
The provider is located at 28 SIMMONS DR EAST ISLIP, NY 11730 and the phone number is (516) 256-9304.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
