Healthcare Provider Details

I. General information

NPI: 1427818137
Provider Name (Legal Business Name): VASSILIKI PAPPAS LMHC-D, LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2024
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2709 40TH AVE STE 200
LONG ISLAND CITY NY
11101-3718
US

IV. Provider business mailing address

249 MILL SPRING RD
MANHASSET NY
11030-3624
US

V. Phone/Fax

Practice location:
  • Phone: 516-945-9535
  • Fax:
Mailing address:
  • Phone: 516-640-8844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number017141
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: