Gwen Ellen Martone Mazza, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0001115-1 Issued in NY

Practice address

2024 W Henrietta Rd
Suite 3-F
Rochester, NY 14623-1355

Phone

(585) 713-5544

Fax

(585) 723-5544

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194932251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 KIRKGATE DR",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145592124",
            "telephone_number": "585-349-2280",
            "fax_number": "585-723-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 W HENRIETTA RD",
            "address_2": "SUITE 3-F",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231355",
            "telephone_number": "585-713-5544",
            "fax_number": "585-723-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTONE MAZZA",
        "first_name": "GWEN",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "0001115-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc A. Martinez, PHD, ABPP
• Monalisa Martinez
• Roberto Damian Martinez
• Stephanie Lynne Martinez
• Chrystine Martins, LPN
• Rosemarie Martone
• Erin Martucci
• Jenna Martuscello, MA, CAS
• Matthew Martyniuk, LMT
• Jeremy Charles Martz

• Mental Health Counselor in Rochester, NY
• Providers in Rochester, 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 Jul 8, 2007; 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.