MRS. JESSICA COHEN MICCIULLI (NPI# 1215390240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215390240 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA COHEN MICCIULLI |
| Other Name | MS. JESSICA COHEN OCHERET |
| Credential | L.M.H.C. |
| Practice Address |
1211 Stewart Ave. Suite 100 Bethpage NY 11714 |
| Practice Telephone | 5164653998 |
| Practice Fax Number | 2125313431 |
| Mailing Telephone | 5164653998 |
| Mailing Fax Number | 2125313431 |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2020-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
006998-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
1211 STEWART AVE. SUITE 100 |
| City | BETHPAGE |
| State | NY |
| Zip Code | 11714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023466208 | Angelika Cataldo | Physician Assistant | 96 Farmers Ave, Bethpage, NY 11714 | 2016-05-30 |
| 1295119329 | Van Tu | Physician Assistant | 72 Roosevelt Dr, Bethpage, NY 11714 | 2015-07-18 |
| 1124400072 | Nicole Simon | Speech-Language Pathologist | 28 Lee Avenue, Bethpage, NY 11714 | 2015-06-26 |
| 1083001556 | Gagandeep Sharma | Podiatrist | 255 Stewart Ave, Bethpage, NY 11714 | 2015-04-22 |
| 1245631399 | All About Kids | Local Education Agency (LEA) | 152 Sycamore Avenue, Bethpage, NY 11714 | 2014-09-09 |
| 1568871440 | Christina Healy | Home Health Aide | 49 West Millpage Drive, Bethpage, NY 11714 | 2014-08-05 |
| 1225444656 | Ryan Vincent Costello | Registered Nurse | 68 S. 2nd St., Apt A, Bethpage, NY 11714 | 2014-07-07 |
| 1598195125 | Lori-ann Perez | Case Manager/Care Coordinator | 18 Ellen Street, Bethpage, NY 11714 | 2013-11-18 |
| 1306195482 | Lisa Kozlowsky | Behavioral Analyst | 420 Kensington Lane, Bethpage, NY 11714 | 2012-09-05 |
| 1043510175 | Richard W Wirth | Speech-Language Pathologist | 807 South Oyster Bay Road, Bethpage, NY 11714 | 2010-10-22 |
| Find all providers in zip 11714 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326681867 | Christina Maria Senatore | Counselor | 199 Central Ave, Bethpage, NY 11714-3907 | 2019-10-28 |
| 1013441401 | The Long Island Mental Health Counseling Group, PC | Counselor | 1211 Stewart Ave, Suite 100, Bethpage, NY 11714-1601 | 2017-04-12 |
| 1144770736 | Yevgeniya D'alessandro | Counselor | 11 Parkview Cir, Bethpage, NY 11714-2309 | 2016-10-07 |
| 1609257641 | Stephanie Hernandez | Counselor | 16 Devon Rd, Bethpage, NY 11714-1107 | 2015-06-16 |
| 1912388844 | Renata Nisenbaum | Counselor | 60 Devon Rd, Bethpage, NY 11714-1117 | 2015-06-16 |
| 1457503120 | Johanna Gomez | Counselor | 1211 Stewart Ave Ste 100, Bethpage, NY 11714 | 2008-10-14 |
| 1568070316 | Stephanie Michelle Russell | Counselor | 1211 Stewart Ave Ste 100, Bethpage, NY 11714-1601 | 2020-07-17 |
| 1912531526 | Brian Alvarez | Counselor | 4271 Hempstead Tpke, Bethpage, NY 11714-5708 | 2020-02-24 |
| 1609421445 | Heather Quinn | Counselor | 1211 Stewart Ave Ste 100, Bethpage, NY 11714-1601 | 2019-08-08 |
| 1548823107 | Stephanie Avila | Counselor | 1211 Stewart Ave Ste 100, Bethpage, NY 11714-1601 | 2019-04-19 |
| Find all providers in BETHPAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.