Blue Lotus Mental Health Counseling PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BLUE LOTUS MENTAL HEALTH COUNSELING PLLC

Practice address

427 Bedford Rd Ste 150
Pleasantville, NY 10570-3035

Phone

(914) 806-3232

NPI assigned

Nov 19, 2018

Last updated

Apr 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer F D'Agostino, PHD, LMHCNPI 1376807172

Title

Executive Director

Phone

(914) 806-3232

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Forstrom D'Agostino, MS, LMHC, NCC

  • Mental Health Counselor
  • Pleasantville, NY
  • NPI 1376807172
  NPD Authorized official

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1164991279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 BEDFORD RD STE 150",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105703035",
            "telephone_number": "914-806-3232",
            "fax_number": "914-747-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 BEDFORD RD STE 150",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105703035",
            "telephone_number": "914-806-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE LOTUS MENTAL HEALTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "D'AGOSTINO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "914-806-3232",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Steven Berger, LCSW
• Mark Bertin, MD
• Roxann Bird
• Debra Bisio, LPN
• Philip B. Blank Jr., D.O.
• Francesca Bonavita
• Maria Rita Borg
• Rebecca Corianne Bowe, LMSW
• Jessie Boye-Doe, M.S.W
• Sharon Brady, M.S. ED M.A. CCC-SLP

• Mental Health Counselor in Pleasantville, NY
• Providers in Pleasantville, 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 Apr 3, 2023; 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.