Individual provider Active NPI

Jana E Venditte

  • Mental Health Counselor
  • Syracuse, NY
National Provider Identifier
1659033918
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
014471 Issued in NY
Practice address
602 Earl Ave
Syracuse, NY 13211-1516
Phone
(602) 418-1952
NPI assigned
Oct 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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 014471 NY Primary

Addresses

Primary practice location

602 Earl Ave
Syracuse, NY 13211-1516

Mailing address

602 Earl Ave
Syracuse, NY 13211-1516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • 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
I20250113001592 NY Practitioner - Mental Health Counselor 5890223234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Branches of Growth Mental Health Counseling, PLLCGroup PAC ID 4082147962, 8 clinicians

Practice addresses (Care Compare)

113 Church St
North Syracuse, NY 13212-2370
Phone (315) 415-0308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014471NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Branches of Growth, LLC Mental Health CurrentSince Nov 8, 2024 Accepting new patients
Branches of Growth Mental Health Counseling, PLLC Mental Health CurrentSince Nov 8, 2024 Accepting new patients

Locations

1 Adler Dr
Ste 5
East Syracuse, NY 13057
Phone (315) 415-0308

113 Church St
North Syracuse, NY 13212
Phone (315) 308-1062

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1659033918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 EARL AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132111516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 EARL AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132111516",
            "telephone_number": "602-418-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENDITTE",
        "first_name": "JANA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "014471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.