JESSICA MAZUR
NPI 1215804778
Counselor - Addiction (Substance Use Disorder) in Gloversville, NY

Active since October 20, 2025
11 BROADWAY ST, GLOVERSVILLE, NY 12078(518) 605-8522 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica Mazur NPPES

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

JESSICA MAZUR (NPI 1215804778) is an individual addiction (substance use disorder) provider in Gloversville, New York, licensed in New York (40934) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1215804778
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJESSICA MAZUR
Location Address11 BROADWAY STGloversville, NY 12078-3968
Mailing Address91 W State St ExtGloversville, NY 12078-1025
Sole ProprietorNo
Enumeration DateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
NPI 1215804778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in NY · 40934
11 BROADWAY ST, Gloversville, NY 12078

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
11 BROADWAY ST
GLOVERSVILLE, NY 12078
Counselor (Mental Health)
11 BROADWAY ST
GLOVERSVILLE, NY 12078
Counselor (Mental Health)
11 BROADWAY ST
GLOVERSVILLE, NY 12078
Counselor (Mental Health)
11 BROADWAY ST
GLOVERSVILLE, NY 12078
Counselor (Mental Health)
11 BROADWAY ST
GLOVERSVILLE, NY 12078
Peer Specialist
11 BROADWAY ST
GLOVERSVILLE, NY 12078
Social Worker (Clinical)
11 BROADWAY ST
GLOVERSVILLE, NY 12078
Counselor (Mental Health)
11 BROADWAY ST
GLOVERSVILLE, NY 12078

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 Mazur's NPI number?

The NPI number for Jessica Mazur is 1215804778. It was assigned to this individual provider in the NPPES registry on October 20, 2025.

Where is Jessica Mazur located?

Jessica Mazur practices at 11 Broadway St, Gloversville, NY 12078. The listed phone number is (518) 605-8522.

What is Jessica Mazur's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jessica Mazur was last updated on October 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.