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MS. JILL VIRGINIA SPADAFORA LMHC-D
NPI 1073906863
Counselor - Mental Health in Wyandanch, NY

Active since March 18, 2015PECOS Enrolled
234 LONG ISLAND AVE, WYANDANCH, NY 11798(631) 920-8250 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2025, Dec 24, 2020 (2 updates tracked since 2020).

About Ms. Jill Virginia Spadafora Lmhc-d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JILL VIRGINIA SPADAFORA LMHC-D (NPI 1073906863) is an individual mental health provider in Wyandanch, New York, licensed in New York (D007785) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1073906863
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. JILL VIRGINIA SPADAFORACredential: LMHC-D
Location Address234 LONG ISLAND AVEWyandanch, NY 11798-3015
Mailing Address234 Long Island AveWyandanch, NY 11798-3015 · (631) 920-8250
Phone(631) 920-8250
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 18, 2015
Last NPPES UpdateFebruary 26, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
✔ NPI 1073906863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · D007785
234 LONG ISLAND AVE, Wyandanch, NY 11798
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jill Virginia Spadafora Lmhc-d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264953595
PECOS Enrollment IDI20250304000372
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JESSICA RAE BALSAMO MHC-LP
Counselor (Mental Health)
234 LONG ISLAND AVE
WYANDANCH, NY 11798
Suffolk County (631) 920-8250
KEISHA SAINS CASAC - T
Counselor (Addiction (Substance Use Disorder))
234 LONG ISLAND AVE
WYANDANCH, NY 11798
Suffolk County (631) 920-8250
MS. PAMELA TERESA PARKER CASAC
Counselor (Addiction (Substance Use Disorder))
234 LONG ISLAND AVE
WYANDANCH, NY 11798
Suffolk County (631) 920-8250
CHELSEA DELUCIA LCSW
Social Worker (Clinical)
234 LONG ISLAND AVE
WYANDANCH, NY 11798
Suffolk County (631) 920-8250
MR. CHRISTIAN MICHAEL ORLANDO LMHC
Counselor (Mental Health)
234 LONG ISLAND AVE
WYANDANCH, NY 11798
Suffolk County (631) 920-8250
MARTINE MACDONALD
Student in an Organized Health Care Education/Training Program
234 LONG ISLAND AVE
WYANDANCH, NY 11798
Suffolk County (631) 920-8250

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jill Spadafora's NPI number?

The NPI number for Jill Spadafora is 1073906863. It was assigned to this individual provider in the NPPES registry on March 18, 2015.

Where is Jill Spadafora located?

Jill Spadafora practices at 234 Long Island Ave, Wyandanch, NY 11798. The listed phone number is (631) 920-8250.

What is Jill Spadafora's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jill Spadafora enrolled in Medicare?

Yes. Jill Spadafora is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jill Spadafora was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.