Active NPI
Jessica Loftus, LMHC
- Mental Health Counselor
- Port Jefferson Station, NY
National Provider Identifier
1245631423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 008643
- Practice address
- 118 Howard St
Port Jefferson Station, NY 11776-2520 - Phone
- (516) 308-1260
- NPI assigned
- Sep 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 008643 | NY | Primary |
Addresses
Primary practice location
118 Howard St
Port Jefferson Station, NY 11776-2520
Mailing address
118 Howard St
Port Jefferson Station, NY 11776-2520
Phone (516) 308-1260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1245631423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 HOWARD ST",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117762520",
"telephone_number": "516-308-1260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 HOWARD ST",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117762520",
"telephone_number": "516-308-1260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOFTUS",
"first_name": "JESSICA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-08",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "008643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Jefferson Station, NY
- Craig Michael Litman, M.D.
- Richard Steven Litman, M.D.
- Sabrina Livoti, PA-C
- Regina Lleras, M.S. CCC-SLP TSSLD
- Brittany Llobell, COTA/L
- Christopher E Loglia, LCSW, CASAC
- Debra Lograno Dazzo, LCSW
- Long Island Digestive Endoscopy Center, LLC
- Long Island Oral and Maxillofacial Surgery Associates LLP
- Long Island Select Healthcare, Inc. (LISH, Inc.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.