MRS. TINA ROSE FLANAGAN LMHC
NPI 1962828640
Counselor - Mental Health in Islandia, NY

Q: What is Tina Flanagan's NPI number?

The NPI number for Tina Flanagan is 1962828640. It was assigned to this individual provider in the NPPES registry on March 5, 2014. The provider is also known as Tina Rose Mentzel Lmhc.

Q: What is Tina Flanagan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tina Flanagan was last updated on October 24, 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.

Active since March 05, 2014PECOS EnrolledAccepts Medicare Assignment

1777 VETERANS MEMORIAL HWY STE 14, ISLANDIA, NY 11749(631) 630-6439(631) 630-6440 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2020, Feb 13, 2017, Feb 6, 2017 (3 updates tracked since 2017).

On this page

About Mrs. Tina Rose Flanagan Lmhc NPPES

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

MRS. TINA ROSE FLANAGAN LMHC (NPI 1962828640) is an individual mental health provider in Islandia, New York, licensed in New York (005971) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Patchogue, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1962828640

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. TINA ROSE FLANAGANCredential: LMHC

Location Address1777 VETERANS MEMORIAL HWY STE 14Islandia, NY 11749-1555

Mailing Address4 Paddock LnMedford, NY 11763-4098 · (631) 627-4694

Phone(631) 630-6439

Fax(631) 630-6440

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateMarch 5, 2014

Last NPPES UpdateOctober 24, 20243 updates tracked since enumeration

NPPES CertifiedOctober 24, 2024

✔ NPI 1962828640 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 · 005971

1777 VETERANS MEMORIAL HWY STE 14, Islandia, NY 11749

Open in Google Maps ↗

Other Names 1

Former Name (1)Tina Rose Mentzel Lmhc

Secondary Practice Location 1

Location 194 Medford AvePatchogue, NY 11772-1202 · Phone (631) 627-4694

Other Identifiers 1

Medicaid001254125NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Tina Rose Flanagan Lmhc 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 ID9032651385

PECOS Enrollment IDI20240603001460

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 12

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

ALYSSA BOHONAN

Counselor (Mental Health)