Jennifer Marie Bruno
Individual provider Active NPI Mental Health Counselor · Rocky Point, NY
NPI 1780166728 · NPPES record last updated Feb 19, 2025
Key facts
- NPI
- 1780166728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 008972 (NY)
- Practice address
- 24 Mahogany Rd
Rocky Point, NY 11778-9223 - Phone
- (631) 514-9661
- NPI assigned
- Sep 6, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1377 Motor Pkwy
Suite 102
Islandia, NY 11749-5249
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260212002764 | NY | Practitioner - Marriage and Family Therapist | 4981184694 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Medical Associates, P.C. | Current |
Accepting new patients | |
| CS Medical Associates, P.C. | Current |
Accepting new patients |
Locations
100 Granny Rd
Ste 1
Farmingville, NY 11738
Phone (631) 666-1234
1377 Motor Pkwy
Ste 102
Islandia, NY 11749
1000 Main St
Ste 1S
Port Jefferson, NY 11777
Phone (631) 296-1113
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 008972 | NY | Yes |
Addresses
Primary practice location
24 Mahogany Rd
Rocky Point, NY 11778-9223
Mailing address
24 Mahogany Rd
Rocky Point, NY 11778-9223
Phone (631) 514-9661
Other providers in Rocky Point, NY
- Kaitlyn Margaret Bonser
- Jessica Jane Bornemann
- Valerie Brandow
- Annette Brasor
- Kenneth Arthur Brown
- Katherine Buchler
- Frederick J Buncke
- Bree Michelle Bunse
- Galo Burbano
- Gina Marie Burkhart
All providers in Rocky Point, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.