Jennifer Forstrom D'Agostino, MS, LMHC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

004807 Issued in NY

Practice address

427 Bedford Rd
Suite 150
Pleasantville, NY 10570-3029

Phone

(914) 806-3232

NPI assigned

Jun 27, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Blue Lotus Mental Health Counseling PLLC

  • Mental Health Counselor
  • Pleasantville, NY
  • NPI 1164991279
  NPD Authorized official

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1376807172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 BEDFORD RD",
            "address_2": "SUITE 150",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105703029",
            "telephone_number": "914-806-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 BEDFORD RD",
            "address_2": "SUITE 150",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105703029",
            "telephone_number": "914-806-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AGOSTINO",
        "first_name": "JENNIFER",
        "middle_name": "FORSTROM",
        "name_prefix": "Ms.",
        "credential": "MS, LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "250919",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Luisa Crivorot
• Margaret Eileen Crowe
• Jan Hillary Cu, OTR/L
• Patricia A. Cummings, PSYD
• Rita Curtin
• Linda Hultgren D'Auria, RN
• Alyssa D'Avanzo
• Sigalit Dallal - Sirlin, P.T.
• Susan Pearl Dapaah, LPN
• Bridget Sophia Darby, LMSW

• Mental Health Counselor in Pleasantville, NY
• Providers in Pleasantville, 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 Jun 27, 2012; 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.