Individual provider Active NPI

Jonathan Marrero

  • Mental Health Counselor
  • Pleasantville, NY
National Provider Identifier
1922765858
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
012855 Issued in NY
Practice address
351 Manville Rd Ste 109
Pleasantville, NY 10570-2166
Phone
(914) 919-9302
NPI assigned
Nov 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 103967-01 NY
Mental Health Counselor 101YM0800X 012855 NY Primary

Addresses

Primary practice location

351 Manville Rd Ste 109
Pleasantville, NY 10570-2166

Mailing address

1618 Old Country Rd
Elmsford, NY 10523-2030
Phone (914) 345-5960

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mycbtanddbt.com Direct Mental Health Counseling for Emotional Well-Being PLLC

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

State licenses

LicenseStateTypeSpecialty
103967-01NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1638057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1922765858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 OLD COUNTRY RD",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105232030",
            "telephone_number": "914-345-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 MANVILLE RD STE 109",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702166",
            "telephone_number": "914-919-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-28",
        "last_updated": "2023-01-31",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "103967-01",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mycbtanddbt.com",
            "affiliation": "Y",
            "endpointDescription": "WebSite",
            "affiliationName": "Mental Health Counseling for Emotional Well-Being PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "351 Manville Rd Ste 109",
            "city": "Pleasantville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105702166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pleasantville, NY

Sources for this page

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