Valerie J Aiosa-Frost, LCSW

Individual provider Active NPI Mental Health Counselor · Wading River, NY

NPI 1457515868 · NPPES record last updated Jul 15, 2008

Key facts

NPI
1457515868
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
031326 (NY)
Practice address
12 Jacobs LN
Wading River, NY 11792-1616
Phone
(631) 929-4265
NPI assigned
Jul 15, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
031326NYMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 031326 NY Yes

Addresses

Primary practice location

12 Jacobs LN
Wading River, NY 11792-1616

Mailing address

PO Box 81
Wading River, NY 11792-0081
Phone (631) 929-4265

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 15, 2008.

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1457515868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117920081",
            "telephone_number": "631-929-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 JACOBS LN",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117921616",
            "telephone_number": "631-929-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIOSA-FROST",
        "first_name": "VALERIE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "031326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wading River, NY

All providers in Wading River, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.