Kaitlyn Cucurullo, LMHC, M.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

005492 Issued in NY

Practice address

89 Tarklin Rd
Saint Johns, FL 32259-8770

Phone

(203) 914-2476

NPI assigned

Dec 20, 2013

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

Medicare fee-for-service enrollment

Enrolled in FL, NY2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  FL, Mental Health, NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1962823765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 TARKLIN RD",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322598770",
            "telephone_number": "203-914-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 TARKLIN RD",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322598770",
            "telephone_number": "203-914-2476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12627 San Jose Blvd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322238639",
            "country_code": "US",
            "telephone_number": "845-416-5041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUCURULLO",
        "first_name": "KAITLYN",
        "credential": "LMHC, M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Cornell-Webb
• Natalia A Cortes, MSN, APRN, FNP-BC
• Patrycja Cotto, BIRTH DOULA
• Courage to Overcome Counseling Services Inc
• Crown Transit Group, LLC
• Sherri Annette D'Agata, ARNP
• Andrew Allen Dacunha, DMD
• Julia R Daly, BCBA
• Dau Family Eye Care, PLLC
• Jordan Patrick Dau, O.D.

• Mental Health Counselor in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.