Journey of the Mind Mental Health Counseling PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

JOURNEY OF THE MIND MENTAL HEALTH COUNSELING PLLC

Practice address

3285B Richmond Ave Ste 200
Staten Island, NY 10312-2123

Phone

(347) 671-7038

NPI assigned

Feb 17, 2023

Organization subpart

No

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

Authorized official

Name

Samantha Desiderio, LMHCNPI 1700584836

Title

Owner

Phone

(347) 671-7038

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Samantha Desiderio, LMHC

  • Mental Health Counselor
  • Staten Island, NY
  • NPI 1700584836
  NPD Authorized official
• Jose Antonio Desiderio, LMHC

  • Mental Health Counselor
  • Staten Island, NY
  • NPI 1477050334
  NPD

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1326746462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3285B RICHMOND AVE STE 200",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122123",
            "telephone_number": "347-671-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3285B RICHMOND AVE STE 200",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122123",
            "telephone_number": "347-671-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY OF THE MIND MENTAL HEALTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "DESIDERIO",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-671-7038",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "012317",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juee M Joshi, DO
• Kessya Joshua, NP
• Racheal G Joshua, FNP-C
• Josiane Lederman, MD PC
• Riad Joudeh
• Karla E Journey, RDN
• Alan Joy, RN
• Ashley Joy, PA-C
• Julia Joy
• Prince Joy, M.D.

• Mental Health Counselor in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.