JENNIFER BARBARA RALLO LMHC
NPI 1114513496
Counselor - Mental Health in New Rochelle, NY

Q: What is Jennifer Rallo's NPI number?

The NPI number for Jennifer Rallo is 1114513496. It was assigned to this individual provider in the NPPES registry on December 21, 2020.

Q: What is Jennifer Rallo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Rallo was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since December 21, 2020PECOS Enrolled

1 RADISSON PLZ FL 9, NEW ROCHELLE, NY 10801(845) 279-5908 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 16, 2023, Dec 21, 2020 (2 updates tracked since 2020).

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About Jennifer Barbara Rallo Lmhc NPPES

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

JENNIFER BARBARA RALLO LMHC (NPI 1114513496) is an individual mental health provider in New Rochelle, New York, licensed in New York (013603) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bohemia, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1114513496

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJENNIFER BARBARA RALLOCredential: LMHC

Location Address1 RADISSON PLZ FL 9New Rochelle, NY 10801-5768

Mailing Address30 Crag LnLevittown, NY 11756-4910 · (631) 708-4394

Phone(845) 279-5908

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateDecember 21, 2020

Last NPPES UpdateOctober 16, 20232 updates tracked since enumeration

NPPES CertifiedOctober 16, 2023

✔ NPI 1114513496 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 · 013603

1 RADISSON PLZ FL 9, New Rochelle, NY 10801

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Secondary Practice Location 1

Location 11650 Sycamore Ave Ste 39Bohemia, NY 11716-1736 · Phone (631) 758-8290

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Barbara Rallo Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921580283

PECOS Enrollment IDI20260305001369

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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Rallo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Janice Martin Licensed Clinical Social Worker PC

38 mi

Mental Health (Including Community Mental Health Center)

710 MAIN ST
Port Jefferson, NY 11777

Reassigned Medicare billing, New York enrollment
12 clinicians in this Medicare group

NPI 1902427941 (631) 680-7222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

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

DR. LEILA JEAN-BAPTISTE M.D.

Psychiatry & Neurology (Psychiatry)