Phung My Ly, LPCC, CDAC-II, MSCP
NPI 1215365739ActiveIndividual· Counselor, Professional· Newark, NJ
Counselor, Professional (LPCC, CDAC-II, MSCP) in Newark, New Jersey, licensed in NJ and CA, with an NPI issued in October 2013. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1215365739 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPCC, CDAC-II, MSCP |
| Sole proprietor | Yes |
| NPI issued | Oct 18, 2013 |
| Last updated in NPPES | Mar 1, 2024 |
| Certified by provider | Mar 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 37PC00989900 | NJ |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | RA9280413 | CA |
| Counselor, Professional | 101YP2500X | LPCC6684 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (NJ) |
|---|
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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