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LIC MARRIAGE AND FAMILY THERAPY PLLC
NPI 1306412077
Marriage & Family Therapist in Long Island City, NY

Active since June 02, 2021
3164 21ST ST # 121, LONG ISLAND CITY, NY 11106(631) 365-9350 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2023, Jul 17, 2023, Jun 2, 2021 (3 updates tracked since 2021).

About Lic Marriage And Family Therapy Pllc NPPES

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

LIC MARRIAGE AND FAMILY THERAPY PLLC (NPI 1306412077) is a healthcare organization registered as a marriage & family therapist in Long Island City, New York and active in the NPI registry since June 2021. The organization lists Jennifer Disomma, Marriage And Family Therapist, as its authorized official.

NPPES Registry Identity

NPI1306412077
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameLIC MARRIAGE AND FAMILY THERAPY PLLC
Location Address3164 21ST ST # 121Long Island City, NY 11106-4573
Mailing Address3164 21st St # 121Long Island City, NY 11106-4573 · (631) 365-9350
Phone(631) 365-9350
Organization SubpartNo
Authorized OfficialJennifer DisommaMarriage And Family Therapist · (631) 365-9350
Enumeration DateJune 2, 2021
Last NPPES UpdateJuly 27, 20233 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
✔ NPI 1306412077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
3164 21ST ST # 121, Long Island City, NY 11106
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

JENNIFER DISOMMA LMFT
Marriage & Family Therapist
3164 21ST ST # 121
LONG ISLAND CITY, NY 11106
Queens County (631) 365-9350

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 Lic Marriage And Family Therapy PLLC's NPI number?

The NPI number for Lic Marriage And Family Therapy PLLC is 1306412077. It was assigned to this organization in the NPPES registry on June 2, 2021.

Where is Lic Marriage And Family Therapy PLLC located?

Lic Marriage And Family Therapy PLLC is located at 3164 21st St # 121, Long Island City, NY 11106. The listed phone number is (631) 365-9350.

What is Lic Marriage And Family Therapy PLLC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Lic Marriage And Family Therapy PLLC was last updated on July 27, 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.