Jeanee La'Trese Wortham, LMHC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

18098734-00 Issued in NY

Practice address

145 Huguenot St Ste 404
New Rochelle, NY 10801-5237

Phone

(914) 355-2440

NPI assigned

Apr 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alssaro Counseling Services, LCSW, PLLC

  • Clinical Social Worker
  • New Rochelle, NY
  • NPI 1790890135
  Medicare reassignment NPD
• Counseling Service of Edny, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn, NY
  • NPI 1922171289
  NPD (past)

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1780247213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071010071",
            "telephone_number": "848-633-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HUGUENOT ST STE 404",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015237",
            "telephone_number": "914-355-2440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16318 Jamaica Ave Ste 502",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114324919",
            "country_code": "US",
            "telephone_number": "718-658-0010 x623",
            "fax_number": "718-658-2909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORTHAM",
        "first_name": "JEANEE",
        "middle_name": "LA'TRESE",
        "name_prefix": "Mrs.",
        "credential": "LMHC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011249-01",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00-14400",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "18098734-00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eve Kambitsis Woodfin, LCSW
• Toya Woods
• Akilah Woodward
• E Hobart Worden, LMSW
• Work 'N Wellness
• Todd Wortman, D.D.S.
• Wound Care Medical of Ny
• Tyneshia Wright
• WRJB NP Family Health PLLC
• Bryce Wunder, OTR

• Mental Health Counselor in New Rochelle, NY
• Providers in New Rochelle, 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 Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.