Marielys Cruz-Mangione, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

010568 Issued in NY

Practice address

6714 41St Ave
Woodside, NY 11377-8128

Phone

(718) 458-4243

Fax

(718) 458-4481

NPI assigned

Apr 6, 2016

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Child Center of Ny, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Forest Hills, NY
  • NPI 1649329806
  Medicare reassignment NPD

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1699139659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6714 41ST AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113778128",
            "telephone_number": "718-458-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6714 41ST AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113778128",
            "telephone_number": "718-458-4243",
            "fax_number": "718-458-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-MANGIONE",
        "first_name": "MARIELYS",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Coste
• Jose Enrique Cotto, LCSW
• Kim Crawford
• Crecer Counseling Services LCSW PC
• Crecer, Inc
• David Samuel Siega Cruz, P.T.
• Jocelyn S Cruz, MSW
• Joel Cruz
• Crystal Medical Care,P.C.
• Csyies LLC

• Mental Health Counselor in Woodside, NY
• Providers in Woodside, 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 Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.