Individual provider Active NPI

Jarah Zambito

  • Mental Health Counselor
  • Estero, FL
National Provider Identifier
1629733688
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
46.006567 Issued in CT
Practice address
13435 Irsina Dr
Estero, FL 33928-6379
Phone
(516) 716-7601
NPI assigned
Nov 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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 46.006567 CT Primary

Addresses

Primary practice location

13435 Irsina Dr
Estero, FL 33928-6379

Mailing address

1024 Copeland Ave
Windsor, ONTARIO N8P 0C3
CA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: No
  • 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
I20240126001316 CT Practitioner - Mental Health Counselor 5395198253 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46.006567CTMDMental Health Counselor
6567CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stokes Counseling Services LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

16 Hillside Ave
Naugatuck, CT 06770
Phone (203) 729-0341

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, 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": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1629733688",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "1024 COPELAND AVE",
            "city": "WINDSOR",
            "state": "ONTARIO",
            "postal_code": "N8P 0C3"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13435 IRSINA DR",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286379",
            "telephone_number": "516-716-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMBITO",
        "first_name": "JARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "46.006567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

Verify at the official NPI Registry.