MEDICARE: JIMMY VARGAS MHC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1659163327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIMMY VARGAS MHC

Provider Business Mailing Address
First Line	:	94 W MAIN ST STE 200
Second Line	:
City	:	BAY SHORE
State	:	NY
Zip	:	11706-8365
Country	:	US
Telephone Number	:	631-252-2820
Fax Number	:

Provider Business Practice Location Address
First Line	:	94 W MAIN ST STE 200
Second Line	:
City	:	BAY SHORE
State	:	NY
Zip	:	11706-8365
Country	:	US
Telephone Number	:	631-252-2820
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2025
Last Update Date	:	04/13/2026

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