Individual provider Active NPI

Jennifer Barbara Rallo, LMHC

  • Mental Health Counselor
  • New Rochelle, NY
National Provider Identifier
1114513496
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1 Radisson PLZ FL 9
New Rochelle, NY 10801-5768
Phone
(845) 279-5908
NPI assigned
Dec 21, 2020
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 013603 NY
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1 Radisson PLZ FL 9
New Rochelle, NY 10801-5768

Mailing address

30 Crag LN
Levittown, NY 11756-4910
Phone (631) 708-4394

Other practice location 1

1650 Sycamore Ave Ste 39
Bohemia, NY 11716-1736
Phone (631) 758-8290

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
I20260305001369 NY Practitioner - Mental Health Counselor 8921580283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 29233
Bellingham, WA 98228-1233

PO Box
Suite 433
Port Jefferson, NY 11777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013603NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel Psychological Health, PC Mental Health CurrentSince Oct 22, 2023 Accepting new patients
Ronald Villano Mental Health Counselor, PLLC Mental Health CurrentSince Dec 1, 2020 Accepting new patients
Janice Martin Licensed Clinical Social Worker PC CurrentSince Jan 26, 2026 Accepting new patients

Locations

1650 Sycamore Ave
Ste 39
Bohemia, NY 11716
Phone (631) 213-1770

1 Radisson Plz
Fl 9
New Rochelle, NY 10801
Phone (914) 369-1934

710 Main St
Prt Jefferson, NY 11777
Phone (631) 474-4000

Organizations & group practices 3

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": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1114513496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CRAG LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117564910",
            "telephone_number": "631-708-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RADISSON PLZ FL 9",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015768",
            "telephone_number": "845-279-5908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Sycamore Ave Ste 39",
            "address_purpose": "LOCATION",
            "city": "Bohemia",
            "state": "NY",
            "postal_code": "117161736",
            "country_code": "US",
            "telephone_number": "631-758-8290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RALLO",
        "first_name": "JENNIFER",
        "middle_name": "BARBARA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013603",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.