Organization Active NPI

Jenna Bogetti Mental Health Counseling

  • Mental Health Counselor
  • Montauk, NY
National Provider Identifier
1730842410
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JENNA BOGETTI MENTAL HEALTH COUNSELING
Practice address
552 W Lake Dr Ste 4
Montauk, NY 11954-5494
Phone
(914) 494-4430
NPI assigned
Oct 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jenna Bogetti, PCNPI 1053897058
Title
Owner
Phone
(914) 494-4430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

552 W Lake Dr Ste 4
Montauk, NY 11954-5494

Mailing address

669 Main St Unit 143
New Rochelle, NY 10801-7101
Phone (914) 494-4430

National Provider Directory

National Provider Directory

Locations

552 W Lake Dr
Ste 4
Montauk, NY 11954
Phone (914) 494-4430

669 Main St
New Rochelle, NY 10801
Phone (646) 481-7725

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1730842410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 MAIN ST UNIT 143",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017101",
            "telephone_number": "914-494-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 W LAKE DR STE 4",
            "city": "MONTAUK",
            "state": "NY",
            "postal_code": "119545494",
            "telephone_number": "914-494-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNA BOGETTI MENTAL HEALTH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "BOGETTI",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-494-4430",
        "authorized_official_credential": "PC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montauk, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.

Verify at the official NPI Registry.