LISA SPITALNY
NPI 1699695130
Counselor - Mental Health in East Islip, NY

Active since July 16, 2026PECOS EnrolledAccepts Medicare Assignment
107 W MAIN ST, EAST ISLIP, NY 11730(631) 666-1615 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lisa Spitalny NPPES

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

LISA SPITALNY (NPI 1699695130) is an individual mental health provider in East Islip, New York, licensed in New York (018190) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1699695130
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA SPITALNY
Location Address107 W MAIN STEast Islip, NY 11730-2337
Mailing Address107 W Main StEast Islip, NY 11730-2337 · (631) 666-1615
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 16, 2026
NPPES CertifiedJuly 16, 2026
✔ NPI 1699695130 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 · 018190
107 W MAIN ST, East Islip, NY 11730

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Spitalny is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941767941
PECOS Enrollment IDI20260810003227
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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Spitalny reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
107 W MAIN ST
East Islip, NY 11730
  • Reassigned Medicare billing, New York enrollment
  • 46 clinicians in this Medicare group

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

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
107 W MAIN ST
EAST ISLIP, NY 11730
Counselor (Mental Health)
107 W MAIN ST
EAST ISLIP, NY 11730
Counselor (Mental Health)
107 W MAIN ST
EAST ISLIP, NY 11730
Social Worker (Clinical)
107 W MAIN ST
EAST ISLIP, NY 11730
Marriage & Family Therapist
107 W MAIN ST, SUITE #2
EAST ISLIP, NY 11730
Social Worker
107 W MAIN ST
EAST ISLIP, NY 11730
Social Worker (Clinical)
107 W MAIN ST
EAST ISLIP, NY 11730
Counselor (Mental Health)
107 W MAIN ST
EAST ISLIP, NY 11730

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 Lisa Spitalny's NPI number?

The NPI number for Lisa Spitalny is 1699695130. It was assigned to this individual provider in the NPPES registry on July 16, 2026.

Where is Lisa Spitalny located?

Lisa Spitalny practices at 107 W Main St, East Islip, NY 11730. The listed phone number is (631) 666-1615.

What is Lisa Spitalny's specialty?

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

Is Lisa Spitalny enrolled in Medicare?

Yes. Lisa Spitalny is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Lisa Spitalny's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Spitalny reassigns Medicare benefits to Sunrise Counseling Center,ltd (East Islip, NY). The 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 Lisa Spitalny's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Spitalny accept?

Health plans from Oscar Health list Lisa Spitalny as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Spitalny was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.