Racioppi Mental Health Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RACIOPPI MENTAL HEALTH COUNSELING PLLC

Practice address

1668 Vandervort Hill Rd
Unadilla, NY 13849-2394

Phone

(607) 369-9043

Fax

(607) 369-9043

NPI assigned

Sep 2, 2020

Organization subpart

No

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

Authorized official

Name

Jeanne M Racioppi, LMHCNPI 1770827602

Title

Clinical Director

Phone

(516) 660-1741

Specialties & licenses 4

Addresses

Other identifiers 5

Other names 2

• PPLC Other name
• Racioppi Mental Health Services PLLC Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeanne Racioppi

  • Mental Health Counselor
  • Amityville, NY
  • NPI 1770827602
  Medicare reassignment NPD Authorized official
• Hugo H Lopez, LMSW, CASAC

  • Clinical Social Worker
  • Massapequa Park, NY
  • NPI 1023532447

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1245844679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1668 VANDERVORT HILL RD",
            "city": "UNADILLA",
            "state": "NY",
            "postal_code": "138492394",
            "telephone_number": "607-369-9043",
            "fax_number": "607-369-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 VANDERVORT HILL RD",
            "city": "UNADILLA",
            "state": "NY",
            "postal_code": "138492394",
            "telephone_number": "607-369-9043",
            "fax_number": "607-369-9043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4770 Sunrise Hwy",
            "address_purpose": "LOCATION",
            "city": "Massapequa Park",
            "state": "NY",
            "postal_code": "117622911",
            "country_code": "US",
            "telephone_number": "516-567-0913",
            "fax_number": "607-369-4963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RACIOPPI MENTAL HEALTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "RACIOPPI",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "516-660-1741",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176063759",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770827602",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932712197",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023532447",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467804989",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PPLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Racioppi Mental Health Services PLLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Racioppi Mental Health Services PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hear Here
• Dieu Huang, LMSW
• Lynn Ellen Jones, LPN
• Kristi Moore, LPN
• Jenessa Marie Oconnor, LPN
• Samantha Cole LCSW
• Chere L Schott, LPN
• Beth Ann Sheldon, LPN
• Winifred Ann Slawson, SLP
• Crystal Tanzola

• Clinical Social Worker in Unadilla, NY
• Providers in Unadilla, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.