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MRS. JESSICA COHEN MICCIULLI L.M.H.C.
NPI 1215390240
Counselor - Mental Health in Bethpage, NY

Active since March 29, 2016
1211 STEWART AVE., SUITE 100, BETHPAGE, NY 11714(516) 465-3998(212) 531-3431 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 26, 2020, Mar 29, 2016 (2 updates tracked since 2016).

About Mrs. Jessica Cohen Micciulli L.m.h.c. NPPES

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

MRS. JESSICA COHEN MICCIULLI L.M.H.C. (NPI 1215390240) is an individual mental health provider in Bethpage, New York, licensed in New York (006998-1) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1215390240
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JESSICA COHEN MICCIULLICredential: L.M.H.C.
Location Address1211 STEWART AVE., SUITE 100Bethpage, NY 11714
Mailing Address1211 Stewart Ave., Suite 100Bethpage, NY 11714 · (516) 465-3998 · Fax (212) 531-3431
Phone(516) 465-3998
Fax(212) 531-3431
Sole ProprietorNo
Enumeration DateMarch 29, 2016
Last NPPES UpdateAugust 26, 20202 updates tracked since enumeration
NPPES CertifiedAugust 26, 2020
✔ NPI 1215390240 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 · 006998-1
1211 STEWART AVE., Bethpage, NY 11714
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Other Names 1

Former Name (1)Ms. Jessica Cohen Ocheret L.m.h.c.

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 Micciulli's NPI number?

The NPI number for Jessica Micciulli is 1215390240. It was assigned to this individual provider in the NPPES registry on March 29, 2016. The provider is also known as Ms. Jessica Cohen Ocheret L.M.H.C..

Where is Jessica Micciulli located?

Jessica Micciulli practices at 1211 Stewart Ave. Suite 100, Bethpage, NY 11714. The listed phone number is (516) 465-3998.

What is Jessica Micciulli'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 Micciulli was last updated on August 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.