Individual provider Active NPI

Emmanuelle Dayanne Dayanne Jeanlouis, LIMITED PERMIT

  • Mental Health Counselor
  • Elmont, NY
National Provider Identifier
1295545275
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P130855 Issued in NY
Practice address
108 Crown Ave
Elmont, NY 11003-1313
Phone
(347) 580-2967
NPI assigned
Jan 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X P130855 NY Primary

Addresses

Primary practice location

108 Crown Ave
Elmont, NY 11003-1313

Mailing address

108 Crown Ave
Elmont, NY 11003-1313
Phone (347) 580-2967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P130855NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1295545275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CROWN AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110031313",
            "telephone_number": "347-580-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CROWN AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110031313",
            "telephone_number": "347-580-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEANLOUIS",
        "first_name": "EMMANUELLE DAYANNE",
        "middle_name": "DAYANNE",
        "credential": "LIMITED PERMIT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P130855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.