Irene Sofia Therapy LCSW PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

IRENE SOFIA THERAPY LCSW PC

Practice address

13430 Sitka St
Ozone Park, NY 11417-2436

Phone

(347) 403-2102

NPI assigned

Apr 1, 2025

Organization subpart

No

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

Authorized official

Name

Irene Sofia Koutsidis-Martelli, MS

Title

Supervisor/Owner

Phone

(347) 256-4597

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kristina Lynne Padron, MHC-LP

  • Mental Health Counselor
  • Ozone Park, NY
  • NPI 1306640347
  NPD

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1306649470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13430 SITKA ST",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114172436",
            "telephone_number": "347-403-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13430 SITKA ST",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114172436",
            "telephone_number": "347-403-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE SOFIA THERAPY LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "KOUTSIDIS-MARTELLI",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "SOFIA",
        "authorized_official_title_or_position": "SUPERVISOR/OWNER",
        "authorized_official_telephone_number": "347-256-4597",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayasri Indaram, MD
• Laura Marie Ingenito, M.A., CCC-SLP
• Interfaith Medical Center
• Ngozi Ezinne Inwelegbu
• Sadat Iqbal, LMSW
• Kenrick Isaac
• Naira Isakharov, M.D.
• Lola Borisovna Iskhakova, MD
• Musammat Rounak Jahan, MD
• Rosmery Jaikaran

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ozone Park, NY
• Providers in Ozone Park, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.