Jose Antonio Desiderio, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

010079-01 Issued in NY

Practice address

3285B Richmond Ave Ste 200
Staten Island, NY 10312-2123

Phone

(347) 671-7038

NPI assigned

Apr 9, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  NJ

  Medicare reassignment NPD
• Journey of the Mind Mental Health Counseling PLLC

  • Mental Health Counselor
  • Staten Island, NY
  • NPI 1326746462
  NPD
• Lifebulb LLC

  • Mental Health Counselor
  • Toms River, NJ
  • NPI 1699491464
  NPD (past)

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1477050334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3285B RICHMOND AVE STE 200",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122123",
            "telephone_number": "347-671-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3285B RICHMOND AVE STE 200",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122123",
            "telephone_number": "347-671-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIDERIO",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010079-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elleana Deschamps
• Joseph Desena, MD
• Lorrie Desena
• Salvatore Desena, MD
• Nicolette Deserio
• Samantha Desiderio, LMHC
• Michele Desimone, M.A., CCC-SLP
• Benjamin Desir
• Maykel Desir
• Antonio G Desposito, DC

• Mental Health Counselor in Staten Island, NY
• Providers in Staten Island, 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 Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.