Jessica Cohen Micciulli, L.M.H.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

006998-1 Issued in NY

Practice address

1211 Stewart Ave.
Suite 100
Bethpage, NY 11714

Phone

(516) 465-3998

Fax

(212) 531-3431

NPI assigned

Mar 29, 2016

Last updated

Aug 26, 2020By the provider in NPPES

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

Other names 1

• Ms. Jessica Cohen Ocheret Former name

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": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1215390240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 STEWART AVE.",
            "address_2": "SUITE 100",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "11714",
            "telephone_number": "516-465-3998",
            "fax_number": "212-531-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 STEWART AVE.",
            "address_2": "SUITE 100",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "11714",
            "telephone_number": "516-465-3998",
            "fax_number": "212-531-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICCIULLI",
        "first_name": "JESSICA",
        "middle_name": "COHEN",
        "name_prefix": "Mrs.",
        "credential": "L.M.H.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-29",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006998-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "OCHERET",
            "middle_name": "COHEN",
            "prefix": "MS.",
            "credential": "L.M.H.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Bethpage, NY
• Providers in Bethpage, 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 Aug 26, 2020; 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.