Gabrielle Marie Ricca-Caldon, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

011337-01 Issued in NY

Practice address

775 Park Ave Ste 380
Huntington, NY 11743-7573

Phone

(917) 581-2834

NPI assigned

Jun 19, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 4, 2024 through Jan 4, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Phoenix Within Mental Health Counseling LLC

  • Mental Health Counselor
  • Huntington, NY
  • NPI 1962103523
  NPD Authorized official
• South Shore Mental Health Counseling Services,PC

  • Professional Counselor
  • East Islip, NY
  • NPI 1366890949
  NPD (past)

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1124558499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 PARK AVE STE 380",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117437573",
            "telephone_number": "917-581-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 PARK AVE STE 380",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117437573",
            "telephone_number": "917-581-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCA-CALDON",
        "first_name": "GABRIELLE",
        "middle_name": "MARIE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011337-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Rose Restivo, NP
• Retro Medicine LLC
• Catherine Reyes Ordonez, RN
• Maria Reyes Ordonez, RN
• Victor C Reyes, DPT
• Lisa L. Riccio, DPM
• Margaret Rice, NPP
• Richard G. Davis, MD, PC
• Richard McGraw DO, PC
• Richard S Joseph MD PC

• Mental Health Counselor in Huntington, NY
• Providers in Huntington, 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 Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.