Active NPI
Diana Michelle Fortunato
- Mental Health Counselor
- New York, NY
National Provider Identifier
1932981438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P119705
- Practice address
- 159 Bleecker St
New York, NY 10012-1457 - Phone
- (347) 335-9314
- NPI assigned
- Oct 18, 2023
- 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 | P119705 | NY | Primary |
Addresses
Primary practice location
159 Bleecker St
New York, NY 10012-1457
Mailing address
27 Cobblers LN
Staten Island, NY 10304-4473
Phone (347) 335-9314
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
| License | State | Type | Specialty |
|---|---|---|---|
| P119705 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1932981438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 COBBLERS LN",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103044473",
"telephone_number": "347-335-9314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 BLEECKER ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100121457",
"telephone_number": "347-335-9314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTUNATO",
"first_name": "DIANA",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-18",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P119705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.