Active NPI
Dedicated Peace Mental Health Counseling, P.C.
- Mental Health Counselor
- Forest Hills, NY
National Provider Identifier
1437758240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- DEDICATED PEACE MENTAL HEALTH COUNSELING, P.C.
- Practice address
- 11835 Queens Blvd Ste 400
Forest Hills, NY 11375-7211 - Phone
- (917) 584-0365
- NPI assigned
- Oct 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lauren Pezzo, LMHC, CASAC
- Title
- Ceo
- Phone
- (917) 584-0365
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
11835 Queens Blvd Ste 400
Forest Hills, NY 11375-7211
Mailing address
11835 Queens Blvd Ste 400
Forest Hills, NY 11375-7211
Phone (917) 584-0365
Other names 1
- Dedicated Peace Mental Health Counseling, P.C.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Forest Hills, NY
- NPI 1770848889
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757462400000",
"number": "1437758240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11835 QUEENS BLVD STE 400",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757211",
"telephone_number": "917-584-0365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11835 QUEENS BLVD STE 400",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757211",
"telephone_number": "917-584-0365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEDICATED PEACE MENTAL HEALTH COUNSELING, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-22",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A",
"authorized_official_last_name": "PEZZO",
"authorized_official_first_name": "LAUREN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "917-584-0365",
"authorized_official_credential": "LMHC, CASAC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dedicated Peace Mental Health Counseling, P.C.",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Dedicated Peace Mental Health Counseling, P.C.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.