MEDICARE: AFFIRM MENTAL HEALTH COUNSELING, PLLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1942133277
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFIRM MENTAL HEALTH COUNSELING, PLLC.

Provider Business Mailing Address
First Line	:	65 BAYVIEW DR
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-1562
Country	:	US
Telephone Number	:	516-660-0215
Fax Number	:

Provider Business Practice Location Address
First Line	:	65 BAYVIEW DR
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-1562
Country	:	US
Telephone Number	:	516-660-0215
Fax Number	:

Authorized Official
Title or Position	:	LMHC
Name	:	ASHLEY GOLDSTEIN
Credential	:
Telephone Number	:	516-660-0215

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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