Jacqueline Baudanza, MHC-LP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P127533 Issued in NY

Practice address

4300 Hylan Blvd
Staten Island, NY 10312-6507

Phone

(347) 754-3228

NPI assigned

Dec 9, 2024

Last updated

Dec 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1528874187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 BEACH AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062944",
            "telephone_number": "347-552-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126507",
            "telephone_number": "347-754-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUDANZA",
        "first_name": "JACQUELINE",
        "credential": "MHC-LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P127533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Batthany, LMHC, CASAC-M
• Kristen Evelyn Battiato, MSN, RN, OCN
• Matthew Battinelli, P.T.
• Sandra Battista
• Keith Anthony Battles Sr., CASAC
• Branie Bauer
• Linnell Arleese Baugham
• Antonette Mijares Bautista
• Katherine Bautista, RN
• Richard James Bautista, RN

• Mental Health Counselor in Staten Island, NY
• Providers in Staten Island, 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 Dec 9, 2024; 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.