Jennifer Volino, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

012901 Issued in NY

Practice address

143 Gretna Woods Rd
Pleasant Valley, NY 12569-6964

Phone

(845) 857-7283

NPI assigned

Feb 5, 2021

Reactivated

Feb 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Gambuti Former name

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pleasant Valley Mental Health Counseling, PLLC

  • Counselor
  • Pleasant Valley, NY
  • NPI 1760198220
  NPD Authorized official
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  NY

  Medicare reassignment

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1083206643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 GRETNA WOODS RD",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125696964",
            "telephone_number": "845-857-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 GRETNA WOODS RD",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125696964",
            "telephone_number": "845-857-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLINO",
        "first_name": "JENNIFER",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "deactivation_date": "2021-02-08",
        "reactivation_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GAMBUTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Tresser, OD
• Valley Chiropractic Assoc PC
• Valley Urgent Care
• Pamela B Viani, ANP
• Victoria a Sibalich Dental PLLC
• Ninel Wendover, D.D.S.
• Edda Weyer, LCSW-R
• Kymouye Jourdeane Williams
• Ellen R Youssef, PA-C
• Yuk-Wah Chan, MD, PC

• Mental Health Counselor in Pleasant Valley, NY
• Providers in Pleasant Valley, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.