KERRI GEOGHEGAN
NPI 1437511029
Counselor - Addiction (Substance Use Disorder) in Commack, NY

Active since March 23, 2016
155 INDIAN HEAD RD, COMMACK, NY 11725(631) 543-6200 Get Directions Write a Review

NPPES record last updated: March 23, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kerri Geoghegan NPPES

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

KERRI GEOGHEGAN (NPI 1437511029) is an individual addiction (substance use disorder) provider in Commack, New York, licensed in New York (30983) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1437511029
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKERRI GEOGHEGAN
Location Address155 INDIAN HEAD RDCommack, NY 11725-2212
Mailing Address812 S BroadwayLindenhurst, NY 11757-5606 · (631) 747-8976
Sole ProprietorNo
Enumeration DateMarch 23, 2016
NPI 1437511029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in NY · 30983
155 INDIAN HEAD RD, Commack, NY 11725

Other Identifiers 1

Other30983NY · Certificate #

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.

Social Worker (Clinical)
155 INDIAN HEAD RD
COMMACK, NY 11725
Counselor (Addiction (Substance Use Disorder))
155 INDIAN HEAD RD
COMMACK, NY 11725
Counselor (Addiction (Substance Use Disorder))
155 INDIAN HEAD RD
COMMACK, NY 11725
Counselor (Addiction (Substance Use Disorder))
155 INDIAN HEAD RD
COMMACK, NY 11725
Counselor (Addiction (Substance Use Disorder))
155 INDIAN HEAD RD
COMMACK, NY 11725
Registered Nurse (Addiction (Substance Use Disorder))
155 INDIAN HEAD RD
COMMACK, NY 11725
Counselor (Addiction (Substance Use Disorder))
155 INDIAN HEAD RD
COMMACK, NY 11725
Counselor (Addiction (Substance Use Disorder))
155 INDIAN HEAD RD
COMMACK, NY 11725

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437511029, enumerated as an "individual" on March 23, 2016.

The provider is located at 155 INDIAN HEAD RD COMMACK, NY 11725 and the phone number is (631) 543-6200.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.