Mental Wellness and Therapy Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

007835 Issued in NY

Legal business name

MENTAL WELLNESS AND THERAPY INC.

Practice address

3063 38TH St Ste B1
Astoria, NY 11103

Phone

(347) 586-6840

NPI assigned

May 25, 2018

Last updated

Jul 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jasna Koltovska, LMHCNPI 1588177448

Title

President

Phone

(347) 586-6840

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jasna Koltovska, LMHC

  • Mental Health Counselor
  • Astoria, NY
  • NPI 1588177448
  NPD (past) Authorized official

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1912498965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3063 38TH ST STE B1",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034173",
            "telephone_number": "347-586-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3063 38TH ST STE B1",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11103",
            "telephone_number": "347-586-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL WELLNESS AND THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "KOLTOVSKA",
        "authorized_official_first_name": "JASNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-586-6840",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "007835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristelle Jemimah Mendoza Alarcon
• Luana Livia Menezes, O.D.
• Marlie Meno
• Melanie B Menor, PT, DPT, CLT-LANA
• Jean-Paul Menoscal, MD
• Mackenzie Menter
• Haydee Mercado Cerezo, LCSW
• Jeraldine Mercado
• Nellie Merced
• Marina Merkina

• Mental Health Clinic/Center (Including Community Mental Health Center) in Astoria, NY
• Providers in Astoria, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.