Individual provider Active NPI

Rocco R Pizzollo, LCSW

  • Mental Health Counselor
  • Latham, NY
National Provider Identifier
1518981117
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R033734-1 Issued in NY
Practice address
117 Old Loudon Rd
Latham, NY 12110-4008
Phone
(518) 786-8012
Fax
(518) 782-0455
NPI assigned
Jul 27, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 R033734-1 NY Primary

Addresses

Primary practice location

117 Old Loudon Rd
Latham, NY 12110-4008

Mailing address

117 Old Loudon Rd
Latham, NY 12110-4008
Phone (518) 786-8012

Other identifiers 1

IdentifierTypeStateIssuer
01940936MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R033734-1NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of Saratoga, Warren and Washington Counties Past Accepting new patients
Catholic Charities of Diocese of Albany PastSince Jan 22, 2018 Accepting new patients
Counseling Service of the Episcopal Diocese of Albany, Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1518981117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 OLD LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104008",
            "telephone_number": "518-786-8012",
            "fax_number": "518-782-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 OLD LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104008",
            "telephone_number": "518-786-8012",
            "fax_number": "518-782-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZZOLLO",
        "first_name": "ROCCO",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R033734-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01940936",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.