Active NPI
Jessenia Aguirre, LMHC
- Mental Health Counselor
- New City, NY
National Provider Identifier
1477906436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 008517-1
- Practice address
- 100 Phillips Hill Rd
New City, NY 10956-4134 - Phone
- (646) 463-2013
- Fax
- (607) 203-5559
- NPI assigned
- Jul 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 008517-1 | NY | Primary |
Addresses
Primary practice location
100 Phillips Hill Rd
New City, NY 10956-4134
Mailing address
296 Route 59 Ste 12 Unit #2003
Airmont, NY 10901-5322
Phone (646) 463-2013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7589068 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Mercy College, 2015
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
100 Phillips Hill Rd
New City, NY 10956-4134
Phone (646) 463-2013
48 Burd St
Suite 205a
Nyack, NY 10960-3247
Phone (646) 463-2013
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008517 | NY | MD | Optometrist |
| 008517-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD Psychiatry Services PLLC | Current | Accepting new patients |
Locations
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1477906436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "296 ROUTE 59 STE 12 UNIT #2003",
"city": "AIRMONT",
"state": "NY",
"postal_code": "109015322",
"telephone_number": "646-463-2013",
"fax_number": "607-203-5559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PHILLIPS HILL RD",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109564134",
"telephone_number": "646-463-2013",
"fax_number": "607-203-5559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUIRRE",
"first_name": "JESSENIA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-14",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "008517-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7589068",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.