Jessica Mirabello, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

004593 Issued in NY

Practice address

500 Bi County Blvd Ste 450
Farmingdale, NY 11735-3995

Phone

(718) 264-1640

NPI assigned

Jan 2, 2018

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

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

Specialty

Mental Health Counselor

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Senior Care Therapy LLCGroup PAC ID 0547335366, 140 clinicians

Practice addresses (Care Compare)

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.

• Senior Care Therapy LLC

  • Clinical Psychologist
  • Passaic, NJ
  • NPI 1285898098

  Professional

  Medicare reassignment Care Compare group NPD
• New York Therapy Placement Services Inc

  • Community/Behavioral Health Agency
  • Farmingdale, NY
  • NPI 1548708118
  NPD (past)
• New York Therapy Placement Services Inc.

  • Early Intervention Provider Agency
  • Port Jefferson Station, NY
  • NPI 1558507210
  NPD (past)

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1477060374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 RATHBUN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092409",
            "telephone_number": "718-614-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BI COUNTY BLVD STE 450",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353995",
            "telephone_number": "718-264-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRABELLO",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-02",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC01065500",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Michels, M.A.,CCC
• Janine Miglino, RN, CPNP
• Milestone in Home Care Inc
• Milestones in Home Care,Inc.
• Paul B Miller
• Mitchell T Yass Physical Therapy PC
• Leslyn Mitchell
• Vikas Mittle, D.D.S.
• MMR Care Corp
• Moby Drugs Inc

• Mental Health Counselor in Farmingdale, NY
• Providers in Farmingdale, 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 Sep 27, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.