MS. NICOLE BEVERLY GERNHARDT (NPI# 1154838464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154838464 |
| Entity Type | Individual |
| Full Name | MS. NICOLE BEVERLY GERNHARDT |
| Credential | LMHC |
| Practice Address |
55 N Ocean Ave Freeport NY 11520-3074 |
| Mailing Address |
443 W Olive St Long Beach NY 11561-3127 |
| Practice Telephone | 5168551800 |
| Mailing Telephone | 5162864786 |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
009997 | NY | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
P09062 | NY | Behavioral Health & Social Service Providers |
| Street Address |
55 N OCEAN AVE |
| City | FREEPORT |
| State | NY |
| Zip Code | 11520-3074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356439145 | South Nassau Pediatrics,llp | Pediatrics | 55 N Ocean Ave, Freeport, NY 11520-3035 | 2006-10-10 |
| 1225660533 | Jennifer Recenello | Counselor | 55 N Ocean Ave, Freeport, NY 11520-3074 | 2020-02-05 |
| 1447778956 | Clayton Conanan | Counselor | 55 N Ocean Ave, Freeport, NY 11520-3074 | 2017-09-05 |
| 1447790134 | Emma Jeanette Guzman | Dentist | 55 N Ocean Ave, Freeport, NY 11520 | 2017-03-01 |
| 1316287964 | Cosmetic & Laser Dental Studio | Dentist | 55 N Ocean Ave, Freeport, NY 11520-3074 | 2013-02-19 |
| 1932230026 | Residential Experience In Adult Living, Inc | Counselor | 55 N Ocean Ave, 2nd Floor, Freeport, NY 11520 | 2007-03-08 |
| 1972691707 | Kathleen Ann Devarso | Nurse Practitioner | 55 N Ocean Ave, Freeport, NY 11520-3035 | 2006-10-10 |
| 1427146042 | Suanne Kowal-connelly | Pediatrics | 55 N Ocean Ave, Freeport, NY 11520-3035 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881157154 | Barbara Chillemi | Registered Nurse | 56 Mackay Place, Freeport, NY 11520 | 2019-04-12 |
| 1588171631 | Lisa Frank | Nurse Practitioner | 150 Buffalo Ave, Freeport, NY 11520 | 2018-01-10 |
| 1447775838 | Julner Quettant Jr. | Physical Therapist | 63 St Marks Ave, Freeport, NY 11520 | 2017-08-07 |
| 1679003933 | Candice A R Greene | Speech-Language Pathologist | 12 Summers Place, Freeport, NY 11520 | 2017-06-19 |
| 1700310331 | Samantha Edwards | Psychologist | 6 Delisle Avenue, Freeport, NY 11520 | 2017-04-20 |
| 1275073769 | Dorothea Geiger | Behavior Technician | 90 Hillside Ave, Freeport, NY 11520 | 2017-03-02 |
| 1477092575 | Maryhaven Center of Hope,inc | Substance Abuse Rehabilitation Facility | 150 Buffalo Avenue, Freeport, NY 11520 | 2017-02-22 |
| 1861849135 | Daniel Lora | Acupuncturist | 140 Parsons Ave, Freeport, NY 11520 | 2016-05-17 |
| 1326413790 | Beatrice Jeanty | Registered Nurse | 619 South Long Beach Ave., Freeport, NY 11520 | 2015-12-10 |
| 1134505548 | Maria A. Meek | Nurse Practitioner | 334, West Merrick Rd., Freeport., NY 11520 | 2015-08-07 |
| Find all providers in zip 11520 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487213328 | Peggy A Moore | Counselor | 8 Unity Ln, Freeport, ME 04032-1021 | 2019-06-12 |
| 1235692369 | Corie Washow | Counselor | 10 Cliff Ave, Freeport, ME 04032-6134 | 2019-04-06 |
| 1588123434 | Malisa Rachelle Price | Counselor | 652 Symphony Way, Freeport, FL 32439-2490 | 2019-03-19 |
| 1972030013 | Elizabeth E Walker | Counselor | 4 Cottage St, Freeport, ME 04032-1102 | 2017-05-19 |
| 1841654357 | Celenia Delgado | Counselor | 45 Shonnard Ave, Freeport, NY 11520-2416 | 2016-04-11 |
| 1508242009 | Queens/long Island Counseling Services | Counselor | 168 Connecticut Ave, Freeport, NY 11520-1531 | 2015-08-06 |
| 1265850077 | Silvia A Torres | Counselor | 40 Claurome Pl, Freeport, NY 11520-1515 | 2014-03-31 |
| 1710313309 | Carmen Rego | Counselor | 130 Garfield St, Freeport, NY 11520-5614 | 2013-09-16 |
| 1649522608 | Heather Danielle Parlin | Counselor | 19 Hunter Rd, Freeport, ME 04032 | 2012-10-15 |
| 1942571427 | Meghan Kathleen Gorchoff | Counselor | 13 Foggs Pt. Rd., Freeport, ME 04032 | 2012-01-16 |
| Find all providers in FREEPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.