Christine Diana Fazio, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

007448 Issued in NY

Practice address

10101 95TH Ave Unit 1E
Ozone Park, NY 11416-1736

Phone

(929) 314-3116

NPI assigned

Oct 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1770180309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 95TH AVE UNIT 1E",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114161736",
            "telephone_number": "929-314-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 95TH AVE UNIT 1E",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114161736",
            "telephone_number": "929-314-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZIO",
        "first_name": "CHRISTINE",
        "middle_name": "DIANA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00721400",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyeworld
• Eyra Beato Licensed Applied Behavior Analyst PLLC (Thrive Applied Behavior Analysis of New York)
• Fabio Mehrgut, M.D.,PC
• Latoya Facey
• Jasmine Falero, MA, CCC-SLP
• Federation of Organizations for the New York State Mentally Disabled
• Federation of Organizations for the Ny State Mentally Disabled Inc
• Federation of Organizations for the Ny State Mentally Disabled Inc
• Jannatul Ferdush
• Karina A Fernandez

• Mental Health Counselor in Ozone Park, NY
• Providers in Ozone Park, 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 Oct 25, 2020; 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.