Active NPI
Gabriella Mariah Mastronardi, LMHC
- Mental Health Counselor
- Forest Hills, NY
National Provider Identifier
1881063980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 009315
- Practice address
- 10209 Metropolitan Ave
Forest Hills, NY 11375-6731 - Phone
- (929) 260-1033
- NPI assigned
- Sep 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 009315 | NY | Primary |
Addresses
Primary practice location
10209 Metropolitan Ave
Forest Hills, NY 11375-6731
Mailing address
14108 Jewel Ave
Flushing, NY 11367-1618
Phone (347) 815-4228
Other practice location 1
14108 Jewel Ave
Flushing, NY 11367-1618
Phone (347) 815-4228
Other practice location 2
240 Madison Ave
New York, NY 10016-2820
Phone (646) 708-5962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Take Back Control Mental Health Counseling PLLC | Current | Accepting new patients | |
| Yes Psychotherapy Services | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Forest Hills, NY
- NPI 1184212516
-
- Mental Health Counselor
- Forest Hills, NY
- NPI 1568900645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1881063980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14108 JEWEL AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113671618",
"telephone_number": "347-815-4228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10209 METROPOLITAN AVE",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113756731",
"telephone_number": "929-260-1033"
}
],
"practiceLocations": [
{
"address_1": "14108 Jewel Ave",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "NY",
"postal_code": "113671618",
"country_code": "US",
"telephone_number": "347-815-4228",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "240 Madison Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100162820",
"country_code": "US",
"telephone_number": "646-708-5962",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASTRONARDI",
"first_name": "GABRIELLA",
"middle_name": "MARIAH",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-18",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "009315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.