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JENNA GAZZILLO MHC
NPI 1417521980
Counselor - Mental Health in Latham, NY

Active since May 18, 2021PECOS EnrolledAccepts Medicare Assignment
6 WELLNESS WAY STE 112, LATHAM, NY 12110(518) 881-1109(518) 213-6985 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jenna Gazzillo Mhc NPPES

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

JENNA GAZZILLO MHC (NPI 1417521980) is an individual mental health provider in Latham, New York and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1417521980
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNA GAZZILLOCredential: MHC
Location Address6 WELLNESS WAY STE 112Latham, NY 12110-2156
Mailing Address6 Wellness Way Ste 201Latham, NY 12110-2156 · (518) 782-3700 · Fax (518) 782-3700
Phone(518) 881-1109
Fax(518) 213-6985
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 18, 2021
Last NPPES UpdateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
✔ NPI 1417521980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
6 WELLNESS WAY STE 112, Latham, NY 12110
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Other Names 1

Former Name (1)Jenna Grady

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jenna Gazzillo Mhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850734237
PECOS Enrollment IDI20240213002952
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
11 services11 patients

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.

CYNTHIA A. STONE LMHC
Counselor (Mental Health)
6 WELLNESS WAY STE 112
LATHAM, NY 12110
Albany County (518) 881-1109
MARISA JOHNSON
Counselor (Mental Health)
6 WELLNESS WAY STE 112
LATHAM, NY 12110
Albany County (518) 881-1109
JAIME MICHELLE HOLLANDER LCSW
Social Worker
6 WELLNESS WAY STE 112
LATHAM, NY 12110
Albany County (518) 881-1109
KIMANI LAFOND MHC-LP
Counselor (Mental Health)
6 WELLNESS WAY STE 112
LATHAM, NY 12110
Albany County (518) 881-1109
ABIGAIL CATHERINE OCONNOR
Counselor (Mental Health)
6 WELLNESS WAY STE 112
LATHAM, NY 12110
Albany County (518) 881-1109
TAMARA T JOHN LMHC
Counselor (Mental Health)
6 WELLNESS WAY STE 112
LATHAM, NY 12110
Albany County (518) 881-1109
MS. MEGAN ELIZABETH VONDOLLEN MHC-LP
Counselor (Mental Health)
6 WELLNESS WAY STE 112
LATHAM, NY 12110
Albany County (518) 881-1109
HANNAH BARBIERI
Counselor (Mental Health)
6 WELLNESS WAY STE 112
LATHAM, NY 12110
Albany County (518) 881-1109

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 Jenna Gazzillo's NPI number?

The NPI number for Jenna Gazzillo is 1417521980. It was assigned to this individual provider in the NPPES registry on May 18, 2021. The provider is also known as Jenna Grady.

Where is Jenna Gazzillo located?

Jenna Gazzillo practices at 6 Wellness Way Ste 112, Latham, NY 12110. The listed phone number is (518) 881-1109.

What is Jenna Gazzillo's specialty?

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

Is Jenna Gazzillo enrolled in Medicare?

Yes. Jenna Gazzillo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jenna Gazzillo accept?

Health plans from Providence Health Plan list Jenna Gazzillo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jenna Gazzillo was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.