Active NPI
Amanda Jean Rocchio, LMHC
- Mental Health Counselor
- New York, NY
National Provider Identifier
1700415056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 011022
- Practice address
- 315 Madison Ave Ste 3083
New York, NY 10017-5457 - Phone
- (516) 244-4867
- NPI assigned
- Apr 7, 2020
- Last updated
- Feb 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 011022 | NY | Primary |
Addresses
Primary practice location
315 Madison Ave Ste 3083
New York, NY 10017-5457
Mailing address
315 Madison Ave Ste 3083
New York, NY 10017-5457
Phone (516) 244-4867
Other practice location 1
1441 Broadway Fl 5
New York, NY 10018-1905
Phone (646) 410-1188
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Amanda.Jean.psychotherapy@gmail.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 011022 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Avenue Psychotherapy, Mental Health Counseling PC | Mental Health | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- New York, NY
- NPI 1356916233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1700415056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 MADISON AVE STE 3083",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100175457",
"telephone_number": "516-244-4867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 MADISON AVE STE 3083",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100175457",
"telephone_number": "516-244-4867"
}
],
"practiceLocations": [
{
"address_1": "1441 Broadway Fl 5",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100181905",
"country_code": "US",
"telephone_number": "646-410-1188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROCCHIO",
"first_name": "AMANDA",
"middle_name": "JEAN",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-07",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "011022",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Amanda.Jean.psychotherapy@gmail.com",
"affiliation": "N",
"endpointDescription": "Hippa compliant email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "315 Madison Ave Ste 3083",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100175457",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.