Ayleen Alago, LMHC, CRC, BCPC

Individual provider Active NPI Mental Health Counselor · Maspeth, NY

NPI 1306205513 · NPPES record last updated Feb 16, 2016

Key facts

NPI
1306205513
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
000532 (NY)
Practice address
6628 52ND Rd
Maspeth, NY 11378-1410
Phone
(347) 247-2493
NPI assigned
Feb 16, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 000532 NY Yes
Counseling Psychologist 103TC1900X 000532 NY
Clinical Child & Adolescent Psychologist 103TC2200X 000532 NY
Family Psychologist 103TF0000X 000532 NY

Addresses

Primary practice location

6628 52ND Rd
Maspeth, NY 11378-1410

Mailing address

6628 52ND Rd
Maspeth, NY 11378-1410
Phone (347) 247-2493

Other providers in Maspeth, NY

All providers in Maspeth, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.