Active NPI
Lauren Mistretta, MA
- Mental Health Counselor
- New York, NY
National Provider Identifier
1346742392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 009205
- Practice address
- 136 Madison Ave FL 6
New York, NY 10016-6795 - Phone
- (973) 907-3084
- NPI assigned
- Mar 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 009205 | NY | Primary |
Addresses
Primary practice location
136 Madison Ave FL 6
New York, NY 10016-6795
Mailing address
5 Shelton Rd
Mendham, NJ 07945-3006
Phone (973) 907-3084
Other practice location 1
1450 Garden St Apt S605
Hoboken, NJ 07030-4680
Phone (973) 907-3084
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009205 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1346742392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 SHELTON RD",
"city": "MENDHAM",
"state": "NJ",
"postal_code": "079453006",
"telephone_number": "973-907-3084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 MADISON AVE FL 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166795",
"telephone_number": "973-907-3084"
}
],
"practiceLocations": [
{
"address_1": "1450 Garden St Apt S605",
"address_purpose": "LOCATION",
"city": "Hoboken",
"state": "NJ",
"postal_code": "070304680",
"country_code": "US",
"telephone_number": "973-907-3084",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISTRETTA",
"first_name": "LAUREN",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-06",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "009205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.