Individual provider Active NPI

Edili Marleny Maldonado, LMHC, LCMHC, NCC

  • Mental Health Counselor
  • New Rochelle, NY
National Provider Identifier
1619304920
Registry record updated May 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007018 Issued in NY
Practice address
481 Main St Ste 500a
New Rochelle, NY 10801-6360
Phone
(914) 314-5934
Fax
(929) 376-2404
NPI assigned
Oct 1, 2013
Last updated
May 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 18893 NC
Mental Health Counselor 101YM0800X 007018 NY Primary

Addresses

Primary practice location

481 Main St Ste 500a
New Rochelle, NY 10801-6360

Mailing address

481 Main St Ste 500a
New Rochelle, NY 10801-6360
Phone (914) 314-5934

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address therapy@mhfpc.com Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18893NCMDPharmacist
007018NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Mental Health First, P.C. Mental Health Current Accepting new patients
Anchor Mental Health Counseling Services, PLLC Mental Health Current Accepting new patients
Coordinated Behavioral Care Ipa Inc Past Accepting new patients
Shine Medical Providers PC Past Accepting new patients
New York Psychotherapy and Counseling Center PastSince Nov 5, 2015 Accepting new patients
Shine Medical of Ca PC Past Accepting new patients

Locations

481 Main St
Ste 303A
New Rochelle, NY 10801
Phone (914) 636-3535

481 Main St
Ste 500A
New Rochelle, NY 10801
Phone (914) 314-5934

Interoperability endpoints

  • Direct secure messaging: edilimaldonado@tdh.allscriptsdirect.net

Organizations & group practices 7

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": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716681600000",
    "number": "1619304920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 MAIN ST STE 500A",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016360",
            "telephone_number": "914-314-5934",
            "fax_number": "929-376-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 MAIN ST STE 500A",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016360",
            "telephone_number": "914-314-5934",
            "fax_number": "929-376-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "EDILI",
        "middle_name": "MARLENY",
        "name_prefix": "Ms.",
        "credential": "LMHC, LCMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2024-05-26",
        "certification_date": "2024-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "18893",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "therapy@mhfpc.com",
            "affiliation": "N",
            "endpointDescription": "Corporation Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "481 Main St Ste 500A",
            "city": "New Rochelle",
            "state": "NY",
            "country_code": "US",
            "postal_code": "108016360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.