Individual provider Active NPI

Jessica Corea, LMHC, CASAC-T

  • Mental Health Counselor
  • Garden City, NY
National Provider Identifier
1033532940
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
585 Stewart Ave Ste 700
Garden City, NY 11530-4785
Phone
(516) 280-7285
NPI assigned
Jan 28, 2014
Last updated
Apr 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

585 Stewart Ave Ste 700
Garden City, NY 11530-4785

Mailing address

585 Stewart Ave Ste 700
Garden City, NY 11530-4785
Phone (516) 280-7285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240304002188 NY Practitioner - Mental Health Counselor 3476915448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J.Corea Mental Health Counseling PCGroup PAC ID 1658733621, 17 clinicians

Practice addresses (Care Compare)

585 Stewart Ave
Suite 700
Garden City, NY 11530-4785
Phone (516) 280-7285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
J.Corea Mental Health Counseling PC CurrentSince Jan 1, 2015 Accepting new patients

Locations

585 Stewart Ave
Ste 700
Garden City, NY 11530
Phone (516) 280-7285

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1033532940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 STEWART AVE STE 700",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304785",
            "telephone_number": "516-280-7285",
            "fax_number": "516-280-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 STEWART AVE STE 700",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304785",
            "telephone_number": "516-280-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COREA",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "LMHC, CASAC-T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-28",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.