Active NPI
Jeanne Malazzo, MHC-LP
- Mental Health Counselor
- Astoria, NY
National Provider Identifier
1316768948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P116873
- Practice address
- 3011 35TH St FL 1
Astoria, NY 11103-4701 - Phone
- (347) 626-9431
- NPI assigned
- Oct 17, 2024
- Sex
- Female
- Sole proprietor
- No
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 | P116873 | NY | Primary |
Addresses
Primary practice location
3011 35TH St FL 1
Astoria, NY 11103-4701
Mailing address
20407 36TH Ave Apt 3
Bayside, NY 11361-1212
Phone (718) 673-1120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 30, 2024 through Dec 30, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P116873 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1316768948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20407 36TH AVE APT 3",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113611212",
"telephone_number": "718-673-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3011 35TH ST FL 1",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111034701",
"telephone_number": "347-626-9431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALAZZO",
"first_name": "JEANNE",
"credential": "MHC-LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-17",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P116873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.