Healthcare Provider Details

I. General information

NPI: 1629921382
Provider Name (Legal Business Name): NANCY ANN NOWINSKI LICENSED MENTAL HEALTH COUNSELOR, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

738 SMITHTOWN BYP STE 108
SMITHTOWN NY
11787-5015
US

IV. Provider business mailing address

3 FOXWOOD CT
HUNTINGTON STATION NY
11746-2114
US

V. Phone/Fax

Practice location:
  • Phone: 516-885-5668
  • Fax: 631-656-8553
Mailing address:
  • Phone: 516-885-5668
  • Fax: 631-656-8553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. NANCY ANN VARANDAS NOWINSKI
Title or Position: OWNER
Credential: LMHC
Phone: 516-885-5668