Organization Active NPI

Erica Rosa LMHC Mental Health Counseling PLLC

  • Mental Health Counselor
  • Ozone Park, NY
National Provider Identifier
1477347540
Registry record updated Apr 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ERICA ROSA LMHC MENTAL HEALTH COUNSELING PLLC
Practice address
8623 102ND Ave
Ozone Park, NY 11416-2131
Phone
(469) 638-3162
NPI assigned
Apr 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2025

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

Authorized official

Name
Erica RosaNPI 1700596152
Title
Owner
Phone
(469) 638-3162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

8623 102ND Ave
Ozone Park, NY 11416-2131

Mailing address

8623 102ND Ave
Ozone Park, NY 11416-2131
Phone (469) 638-3162

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250620000468 NY Part B Supplier - Clinic/Group Practice 9830601442 Receives reassigned benefits from 1 practitioner
Practice locations: Ozone Park, NY; Kew Gardens, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743811200000",
    "number": "1477347540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8623 102ND AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162131",
            "telephone_number": "469-638-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8623 102ND AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162131",
            "telephone_number": "469-638-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICA ROSA LMHC MENTAL HEALTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-05",
        "last_updated": "2025-04-05",
        "certification_date": "2025-04-05",
        "status": "A",
        "authorized_official_last_name": "ROSA",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-638-3162"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2025; 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.