Eastern Suffolk Counseling Lcsw PLLC
NPI 1639529266 · Community/Behavioral Health Agency · Saint James, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eastern Suffolk Counseling Lcsw PLLC is a Community/Behavioral Health Agency organization in Saint James, NY (NPI 1639529266).
Provider details
- NPI number
- 1639529266
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Richard Girard-Domena, Clinical Dorector(631) 504-2102
- License
- R078941-1 (NY)
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-06-14
- Last updated
- 2016-06-14
Frequently asked questions
- What is Eastern Suffolk Counseling Lcsw PLLC's NPI number?
- Eastern Suffolk Counseling Lcsw PLLC's National Provider Identifier (NPI) is 1639529266, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastern Suffolk Counseling Lcsw PLLC?
- Eastern Suffolk Counseling Lcsw PLLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Eastern Suffolk Counseling Lcsw PLLC located?
- Eastern Suffolk Counseling Lcsw PLLC's practice location on file with NPPES is 551 N Country Rd, Saint James, NY 11780-1445.
- What is Eastern Suffolk Counseling Lcsw PLLC's phone number?
- The practice phone number listed in the NPPES registry for Eastern Suffolk Counseling Lcsw PLLC is (631) 504-2102.
- Does Eastern Suffolk Counseling Lcsw PLLC accept Medicare?
- Eastern Suffolk Counseling Lcsw PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Eastern Suffolk Counseling Lcsw PLLC?
- The authorized official listed on Eastern Suffolk Counseling Lcsw PLLC's NPPES record is Richard Girard-Domena, Clinical Dorector. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastern Suffolk Counseling Lcsw PLLC's NPI active?
- Yes — Eastern Suffolk Counseling Lcsw PLLC's NPI (1639529266) is active in the NPPES registry as of the last update on 2016-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.