Individual provider Active NPI

Angelina Marie Bellavia, MHC-LP

  • Mental Health Counselor
  • South Ozone Park, NY
National Provider Identifier
1346749967
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
008691 Issued in NY
Practice address
10819 Rockaway Blvd
South Ozone Park, NY 11420-1034
Phone
(718) 845-2620
NPI assigned
Feb 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P03594 NY
Mental Health Counselor 101YM0800X 008691 NY Primary

Addresses

Primary practice location

10819 Rockaway Blvd
South Ozone Park, NY 11420-1034

Mailing address

9107 153Rd Ave
Howard Beach, NY 11414-1603
Phone (631) 831-3242

Other names 1

  • Angelina Mendolia Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251224001919 NY Practitioner - Mental Health Counselor 6800381070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

111 Smithtown Byp
Suite 207
Hauppauge, NY 11788-2573

99 Rochester Ave
East Atlantic Beach, NY 11561-1032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008691NYMDMental Health Counselor
P03594NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Ufko, LCSW, PLLC CurrentSince Oct 18, 2025 Accepting new patients

Locations

111 Smithtown Byp
Ste 207
Hauppauge, NY 11788
Phone (631) 360-3752

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1346749967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9107 153RD AVE",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114141603",
            "telephone_number": "631-831-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10819 ROCKAWAY BLVD",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114201034",
            "telephone_number": "718-845-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAVIA",
        "first_name": "ANGELINA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MHC-LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-09",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P03594",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELINA",
            "last_name": "MENDOLIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Ozone Park, NY

Sources for this page

Verify at the official NPI Registry.