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LARISSA WEINERT
NPI 1710622501
Counselor - Mental Health in Wantagh, NY

Active since May 05, 2022PECOS Enrolled
2158 WILLOW ST, WANTAGH, NY 11793(516) 468-9067 Get Directions Write a Review

NPPES record last updated: October 4, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Larissa Weinert NPPES

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

LARISSA WEINERT (NPI 1710622501) is an individual mental health provider in Wantagh, New York, licensed in New York (P122301) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1710622501
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLARISSA WEINERT
Location Address2158 WILLOW STWantagh, NY 11793-4223
Mailing Address59 Overlook DrManchester, CT 06042-3408
Phone(516) 468-9067
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 5, 2022
Last NPPES UpdateOctober 4, 2025
NPPES CertifiedOctober 4, 2025
✔ NPI 1710622501 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 · P122301
2158 WILLOW ST, Wantagh, NY 11793
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larissa Weinert is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597231530
PECOS Enrollment IDI20260417000549
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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHARON LYNN KLEIN LCSW
Social Worker (Clinical)
2158 WILLOW ST
WANTAGH, NY 11793
Nassau County (516) 387-5024
LAUREN MAY FAULTLESS
Student in an Organized Health Care Education/Training Program
2158 WILLOW ST
WANTAGH, NY 11793
Nassau County (516) 387-5024
JESSICA MALDONADO
Student in an Organized Health Care Education/Training Program
2158 WILLOW ST
WANTAGH, NY 11793
Nassau County (516) 468-9067
SHARON KLEIN LCSW PC
Social Worker (Clinical)
2158 WILLOW ST
WANTAGH, NY 11793
Nassau County (631) 835-4869
MAUREEN KAIPPANCHALIL PAULOSE
Marriage & Family Therapist
2158 WILLOW ST
WANTAGH, NY 11793
Nassau County (516) 387-5024
DABIN NICOLE LIM
Student in an Organized Health Care Education/Training Program
2158 WILLOW ST
WANTAGH, NY 11793
Nassau County (516) 387-5024
NATASHA GEORGE
Counselor (Mental Health)
2158 WILLOW ST
WANTAGH, NY 11793
Nassau County (516) 387-5024
YE SIL CHA
Counselor (Mental Health)
2158 WILLOW ST
WANTAGH, NY 11793
Nassau County (516) 387-5024

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 Larissa Weinert's NPI number?

The NPI number for Larissa Weinert is 1710622501. It was assigned to this individual provider in the NPPES registry on May 5, 2022.

Where is Larissa Weinert located?

Larissa Weinert practices at 2158 Willow St, Wantagh, NY 11793. The listed phone number is (516) 468-9067.

What is Larissa Weinert's specialty?

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

Is Larissa Weinert enrolled in Medicare?

Yes. Larissa Weinert is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Larissa Weinert was last updated on October 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.