Active NPI
Jennifer R Cinicolo, LMHC
- Mental Health Counselor
- Hartsdale, NY
National Provider Identifier
1619508298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 007133-1
- Practice address
- 280 N Central Ave Ste 40
Hartsdale, NY 10530-1836 - Phone
- (845) 861-5065
- Fax
- (917) 517-1356
- NPI assigned
- Jan 31, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 007133-1 | NY | Primary |
Addresses
Primary practice location
280 N Central Ave Ste 40
Hartsdale, NY 10530-1836
Mailing address
280 N Central Ave Ste 40
Hartsdale, NY 10530-1836
Phone (845) 861-5065
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
| License | State | Type | Specialty |
|---|---|---|---|
| 007133-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire State Forensics, LCSW P.C. | Mental Health | Past | Accepting new patients |
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": "1580428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1619508298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 N CENTRAL AVE STE 40",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105301836",
"telephone_number": "845-861-5065",
"fax_number": "917-517-1356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 N CENTRAL AVE STE 40",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105301836",
"telephone_number": "845-861-5065",
"fax_number": "917-517-1356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CINICOLO",
"first_name": "JENNIFER",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-31",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "007133-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.