Mishma T. L. Anderson
Individual provider Active NPI Mental Health Counselor · Roosevelt, NY
NPI 1013892306 · NPPES record last updated Aug 7, 2025
Key facts
- NPI
- 1013892306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 33 W Clinton Ave
Roosevelt, NY 11575-1331 - Phone
- (516) 514-4525
- NPI assigned
- Aug 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
33 W Clinton Ave
Roosevelt, NY 11575-1331
Mailing address
33 W Clinton Ave
Roosevelt, NY 11575-1331
Phone (516) 514-4525
Other practice location 1
108 S Franklin Ave Ste 3
Valley Stream, NY 11580-6105
Phone (516) 303-9925
Other providers in Roosevelt, NY
- Jennifer Albert
- Elizabeth Anne Alfano
- Allegiance Home Health Agency Inc
- Tiffany Crystal Altidor
- Amtaj Enterprise LLC
- Katia Andrade
- Kim Angelone
- Angela Ankobiah
- Dawn Marlene Anthony
- Lauren Marian Arnone
All providers in Roosevelt, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.