Organization Active NPI

Magnolia Psychotherapy LCSW, PLLC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1013812080
Registry record updated Oct 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MAGNOLIA PSYCHOTHERAPY LCSW, PLLC
Practice address
252 Java St Ste 302
Brooklyn, NY 11222-5599
Phone
(917) 473-1309
NPI assigned
Oct 10, 2026
Last updated
Oct 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andrea Cilento, LCSWNPI 1396376679
Title
Owner
Phone
(206) 427-8633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

252 Java St Ste 302
Brooklyn, NY 11222-5599

Mailing address

1959 76TH St Apt 1
East Elmhurst, NY 11370-8007
Phone (206) 427-8633

National Provider Directory

National Provider Directory

Locations

252 Java St
Ste 302
Brooklyn, NY 11222
Phone (917) 408-3617

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791590400000",
    "number": "1013812080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 76TH ST APT 1",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113708007",
            "telephone_number": "206-427-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 JAVA ST STE 302",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225599",
            "telephone_number": "917-473-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA PSYCHOTHERAPY LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-10",
        "last_updated": "2026-10-10",
        "certification_date": "2026-10-10",
        "status": "A",
        "authorized_official_last_name": "CILENTO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-427-8633",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.