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MS. JESSICA RAE BALSAMO MHC-LP
NPI 1083299457
Counselor - Mental Health in Wyandanch, NY

Active since March 16, 2021
234 LONG ISLAND AVE, WYANDANCH, NY 11798(631) 920-8250 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2025, Feb 14, 2025, Mar 16, 2021 (3 updates tracked since 2021).

About Ms. Jessica Rae Balsamo Mhc-lp NPPES

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

MS. JESSICA RAE BALSAMO MHC-LP (NPI 1083299457) is an individual mental health provider in Wyandanch, New York, licensed in New York (18-P134322-02) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1083299457
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. JESSICA RAE BALSAMOCredential: MHC-LP
Location Address234 LONG ISLAND AVEWyandanch, NY 11798-3015
Mailing Address234 Long Island AveWyandanch, NY 11798-3015
Phone(631) 920-8250
Sole ProprietorYes
Enumeration DateMarch 16, 2021
Last NPPES UpdateJuly 24, 20253 updates tracked since enumeration
NPPES CertifiedJuly 24, 2025
✔ NPI 1083299457 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 · 18-P134322-02
234 LONG ISLAND AVE, Wyandanch, NY 11798
Open in Google Maps ↗

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. JILL VIRGINIA SPADAFORA LMHC-D
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 Jessica Balsamo's NPI number?

The NPI number for Jessica Balsamo is 1083299457. It was assigned to this individual provider in the NPPES registry on March 16, 2021.

Where is Jessica Balsamo located?

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

What is Jessica Balsamo's specialty?

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

When was this NPI record last updated?

The NPPES record for Jessica Balsamo was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.