Individual provider Active NPI

Jessenia Aguirre, LMHC

  • Mental Health Counselor
  • New City, NY
National Provider Identifier
1477906436
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
008517-1 Issued in NY
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

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7589068MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240208003374 NY Practitioner - Mental Health Counselor 9032593561 Reassigns benefits to 1 organization
Practice locations: Nyack, NY

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

LicenseStateTypeSpecialty
008517NYMDOptometrist
008517-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD Psychiatry Services PLLC CurrentSince Jan 1, 2024 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

Verify at the official NPI Registry.