Carolyn De la Mata

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

013384 Issued in NY

Practice address

400 W 43Rd St Apt 16T
New York, NY 10036-6307

Phone

(914) 620-2214

NPI assigned

Apr 1, 2019

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1477015204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 43RD ST APT 16T",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100366307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 43RD ST APT 16T",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100366307",
            "telephone_number": "914-620-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA MATA",
        "first_name": "CAROLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina De la Cruz
• Rosanna De la Cruz, L.AC.
• Sofia A. De la Cruz, M.D.
• Elaine De la Hoz, N.P.
• Rafael E. De la Hoz, M.D.
• Eneil Ryan De la Pena, ANP-BC, GNP
• Rocio De la Rosa Campos, LAC
• Anna M De la Rosa, LCSW
• April De la Rosa, CRNA
• Ashanti De la Rosa

• Mental Health Counselor in New York, NY
• Providers in New York, 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 Apr 18, 2023; 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.