Jennifer Disomma, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001758-01 Issued in NY

Practice address

3164 21St St # 121
Long Island City, NY 11106-4573

Phone

(631) 365-9350

NPI assigned

Aug 31, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lic Marriage and Family Therapy PLLC

  • Marriage & Family Therapist
  • Long Island City, NY
  • NPI 1306412077
  NPD Authorized official

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1851176358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3164 21ST ST # 121",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111064573",
            "telephone_number": "631-365-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3164 21ST ST # 121",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111064573",
            "telephone_number": "631-365-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISOMMA",
        "first_name": "JENNIFER",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001758-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatou Binetou Dieye, DPT
• Adina Dilmohamed, MD
• Daniela Caterina Dimaggio, RN
• John Richard Dimarinis, DPM PODIATRIST
• Merita Dinovic
• Ylenia Divito
• Doreen Adoma Djan
• DO-Soo Orthopedic Physical Therapy, PLLC
• Zyra Mae Entoma Doderer
• Racquel M Doherty

• Marriage & Family Therapist in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.