Individual provider Active NPI

Justine Astacio, LMHCD

  • Mental Health Counselor
  • Mamaroneck, NY
National Provider Identifier
1942772322
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009105 Issued in NU
Practice address
434 Mamaroneck Ave Ste 104
Mamaroneck, NY 10543-2698
Phone
(917) 594-2497
NPI assigned
Dec 22, 2018
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 009105 NU Primary

Addresses

Primary practice location

434 Mamaroneck Ave Ste 104
Mamaroneck, NY 10543-2698

Mailing address

434 Mamaroneck Ave Ste 104
Mamaroneck, NY 10543-2698
Phone (917) 594-2497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250425001873 NY Practitioner - Mental Health Counselor 8921524687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

434 Mamaroneck Ave
Suite 104
Mamaroneck, NY 10543-2698
Phone (917) 594-2497

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009105NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Theory LLC Mental Health CurrentSince Feb 18, 2025 Accepting new patients

Locations

434 Mamaroneck Ave
Ste 104
Mamaroneck, NY 10543
Phone (917) 594-2497

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1545436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1942772322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 MAMARONECK AVE STE 104",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105432698",
            "telephone_number": "917-594-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 MAMARONECK AVE STE 104",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105432698",
            "telephone_number": "917-594-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTACIO",
        "first_name": "JUSTINE",
        "credential": "LMHCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-22",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": "009105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mamaroneck, NY

Sources for this page

Verify at the official NPI Registry.