Jennifer Rose Durso

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

140 Broadway # 4657
New York, NY 10005-1108

Phone

(201) 399-2711

NPI assigned

Aug 20, 2021

Last updated

Aug 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Durso Mental Health Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1124973607
  NPD Authorized official

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1922774736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BROOKSIDE DR APT C",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070126327",
            "telephone_number": "732-740-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BROADWAY # 4657",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100051108",
            "telephone_number": "201-399-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURSO",
        "first_name": "JENNIFER",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.wellnessroadpsychology.com/provider",
            "affiliation": "Y",
            "affiliationName": "Wellness Road Psychology, PLLC",
            "address_1": "140 Broadway # 4657",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100051108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aqsa Durrani, MD, MPH
• Fahad Khan Durrani, MD
• Mohammad Manan Durrani, MD
• Sana Durrani, MBBS
• Durso Mental Health Counseling PLLC
• Lisa Rose Durso, MD
• Matthew Durst
• Anna Dursztman
• Mark Dursztman, M.D.
• Chidinma Chisom Duru, PMHNP-BC

• Mental Health Counselor in New York, NY
• Providers in New York, 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 Aug 25, 2021; 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.