MRS. KRYSTIE MARIE IZZO (NPI# 1407273352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407273352 |
| Entity Type | Individual |
| Full Name | MRS. KRYSTIE MARIE IZZO |
| Other Name | MS. KRYSTIE MARIE DECICCO |
| Credential | LMHC |
| Practice Address |
2460 Victory Blvd Staten Island NY 10314 |
| Mailing Address |
2460 Victory Blvd Staten Island NY 10314-6612 |
| Practice Telephone | 7184770228 |
| Mailing Telephone | 6462204406 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2018-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
007045-1 | NY | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
007045 | NY | Behavioral Health & Social Service Providers |
| Street Address |
2460 VICTORY BLVD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184791295 | Jill White | Physical Therapist | 2460 Victory Blvd, Staten Island, NY 10314-6612 | 2006-11-30 |
| 1912514456 | Danielle Mullen | Counselor | 2460 Victory Blvd, Staten Island, NY 10314-6612 | 2020-09-29 |
| 1477107597 | Jane Peck | Counselor | 2460 Victory Blvd, Staten Island, NY 10314-6612 | 2019-07-26 |
| 1447786751 | Mental Health Counseling of Staten Island, PC | Counselor | 2460 Victory Blvd, Staten Island, NY 10314-6612 | 2017-05-05 |
| 1942749643 | Lucia Falcone Holistic Mental Health Counseling Spp | Counselor | 2460 Victory Blvd, Staten Island, NY 10314-6612 | 2017-02-15 |
| 1699213207 | Desiree Alanna Dickens | Counselor | 2460 Victory Blvd, Staten Island, NY 10314-6612 | 2017-02-02 |
| 1073057899 | Lucia Falcone | Counselor | 2460 Victory Blvd, Staten Island, NY 10314-6612 | 2016-12-13 |
| 1033599238 | Danamarie Corcoran | Speech-Language Pathologist | 2460 Victory Blvd, Staten Island, NY 10314-6612 | 2015-06-02 |
| 1902295629 | Andrea Sarola | Speech-Language Pathologist | 2460 Victory Blvd, Staten Island, NY 10314-6612 | 2015-01-19 |
| 1932526324 | Alexandra Serrat | Counselor | 2460 Victory Blvd, Staten Island, NY 10314-6612 | 2014-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| Find all providers in zip 10314 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799675 | Matthew Marchisello | Counselor | 201 Forest Avenue, Staten Island, NY 10301-2763 | 2020-10-30 |
| 1932708682 | My Quiet Place, Mental Health Counseling P.C. | Counselor | 115 Graham Blvd Apt A, Staten Island, NY 10305-4005 | 2020-10-23 |
| 1043817067 | Jessica Megan Flores | Counselor | 218 Union Ave, Staten Island, NY 10303-2442 | 2020-10-02 |
| 1780291070 | Alexandria Savastano | Counselor | 87 Tioga St, Staten Island, NY 10301-4209 | 2020-09-30 |
| 1326652322 | Chloe Jeannette Hansen-augello | Counselor | 194 Robinson Ave, Staten Island, NY 10312-6216 | 2020-09-07 |
| 1497369722 | Jennifer Laura Lerner | Counselor | 2a Kathy Pl, Staten Island, NY 10314-5912 | 2020-09-03 |
| 1134737372 | Nancy Burns | Counselor | 345 Guyon Ave # 14, Staten Island, NY 10306 | 2020-07-14 |
| 1578188447 | Christina Marie Carbone | Counselor | 177 Sprague Ave, Staten Island, NY 10307-1959 | 2020-06-16 |
| 1689298044 | Michelle Renee Perlongo | Counselor | 12 Jefferson Blvd Ste 2, Staten Island, NY 10312-3330 | 2020-06-02 |
| 1215550033 | Kay Nuzzo | Counselor | 198 Davis Ave, Staten Island, NY 10310-1652 | 2020-05-27 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
Please comment or provide details below to improve the information on MRS. KRYSTIE MARIE IZZO.
| 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.