Active NPI
Jennifer Barbara Rallo, LMHC
- Mental Health Counselor
- New Rochelle, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 013603 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carmel Psychological Health, PC | Mental Health | Current | Accepting new patients |
| Ronald Villano Mental Health Counselor, PLLC | Mental Health | Current | Accepting new patients |
| Janice Martin Licensed Clinical Social Worker PC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Port Jefferson, NY
- NPI 1902427941
-
dba LifeStance Psychology
- Psychologist
- Carmel, NY
- NPI 1720194335
Mental Health
-
dba Family & Personal Counseling
- Mental Health Counselor
- Bohemia, NY
- NPI 1720359086
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.