Individual provider Active NPI

Jenna Michelle Bogetti

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1053897058
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
008884-1 Issued in NY
Practice address
330 W 58TH St Ste 203
New York, NY 10019-1822
Phone
(212) 707-8222
NPI assigned
Jul 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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 008884-1 NY Primary

Addresses

Primary practice location

330 W 58TH St Ste 203
New York, NY 10019-1822

Mailing address

54 Maynard St
Tuckahoe, NY 10707-3406
Phone (914) 494-4430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008884-1NYMDMental Health Counselor
008884NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jenna Bogetti Mental Health Counseling Mental Health CurrentSince Oct 24, 2021 Accepting new patients

Locations

552 W Lake Dr
Ste 4
Montauk, NY 11954
Phone (914) 494-4430

669 Main St
New Rochelle, NY 10801
Phone (646) 481-7725

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1053897058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MAYNARD ST",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107073406",
            "telephone_number": "914-494-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W 58TH ST STE 203",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191822",
            "telephone_number": "212-707-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGETTI",
        "first_name": "JENNA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008884-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.