Johanna Fuentes-Murillo, MS, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00848500 Issued in NJ

Practice address

1110 South Ave
Staten Island, NY 10314-3403

Phone

(347) 273-1290

NPI assigned

Jan 30, 2025

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

Other names 1

• Johanna Fuentes Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1710790860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 CENTRAL AVE STE 7",
            "address_2": "PO BOX 482",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "07974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 SOUTH AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143403",
            "telephone_number": "347-273-1290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Integrated Hearts Counseling and Consultation, LLC",
            "address_2": "422 Stage Coach Road, PO Box 424",
            "address_purpose": "LOCATION",
            "city": "Millstone",
            "state": "NJ",
            "postal_code": "08510",
            "country_code": "US",
            "telephone_number": "201-723-0713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUENTES-MURILLO",
        "first_name": "JOHANNA",
        "credential": "MS, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00848500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNA",
            "last_name": "FUENTES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• FTR Physical Therapy PC
• Wayne W Fu, MD
• Christine Marie Fuca, C.D.N.
• Allen Fuchs, M.D.
• Stephanie Fueguel, LMSW
• Diana Fuggetta
• Erina Fujino, MD
• Joseph D Fulco, M.D.
• Kevin Fuller-NG, MS, RD, CSO, CDN
• Keisha Musu Fully, LPN

• Mental Health Counselor in Staten Island, NY
• Providers in Staten Island, 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 Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.