NPIMap

Organization Active NPI

J.Corea Mental Health Counseling PC

  • Exclusive Provider Organization
  • Garden City, NY
National Provider Identifier
1467907733
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
005894 Issued in NY
Legal business name
J.COREA MENTAL HEALTH COUNSELING PC
Practice address
585 Stewart Ave Ste 700
Garden City, NY 11530-4785
Phone
(516) 280-7285
Fax
(516) 280-7286
NPI assigned
Aug 16, 2016
Last updated
Apr 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Authorized official

Name
Jessia Corea, LMHC, CASAC-T
Title
Ceo, Mental Health Counselor
Phone
(516) 280-7285

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 005894 NY Primary
Exclusive Provider Organization 302F00000X

Addresses

Primary practice location

585 Stewart Ave Ste 700
Garden City, NY 11530-4785

Mailing address

585 Stewart Ave Ste 700
Garden City, NY 11530-4785
Phone (516) 351-7432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230809000190 NY Part B Supplier - Clinic/Group Practice 1658733621 Receives reassigned benefits from 20 practitioners
Practice locations: Garden City, NY

National Provider Directory

National Provider Directory

Locations

585 Stewart Ave
Ste 700
Garden City, NY 11530
Phone (516) 280-7285

500 Old Country Rd
Ste 315
Garden City South, NY 11530
Phone (516) 243-9480

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1467907733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 STEWART AVE STE 700",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304785",
            "telephone_number": "516-351-7432",
            "fax_number": "516-280-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 STEWART AVE STE 700",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304785",
            "telephone_number": "516-280-7285",
            "fax_number": "516-280-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.COREA MENTAL HEALTH COUNSELING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "COREA",
        "authorized_official_first_name": "JESSIA",
        "authorized_official_title_or_position": "CEO, MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "516-280-7285",
        "authorized_official_credential": "LMHC, CASAC-T"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "005894",
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.

Verify at the official NPI Registry.