CERULEAN WILLOW MENTAL HEALTH COUNSELING PLLC
NPI 1427749688
Counselor - Mental Health in Port Jefferson, NY

Q: What is Cerulean Willow Mental Health Counseling PLLC's specialty?

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

Active since May 18, 2023

1227 MAIN ST STE 302, PORT JEFFERSON, NY 11777(631) 512-3079 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 24, 2023, May 18, 2023 (2 updates tracked since 2023).

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About Cerulean Willow Mental Health Counseling Pllc NPPES

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

CERULEAN WILLOW MENTAL HEALTH COUNSELING PLLC (NPI 1427749688) is a healthcare organization registered as a mental health in Port Jefferson, New York and active in the NPI registry since May 2023. The organization maintains a secondary practice location in Cold Spring Harbor and lists Daisy Denise Rodriguez, Founder, as its authorized official.

NPPES Registry Identity

NPI1427749688

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameCERULEAN WILLOW MENTAL HEALTH COUNSELING PLLC

Location Address1227 MAIN ST STE 302Port Jefferson, NY 11777-2227

Mailing AddressPo Box 685Oyster Bay, NY 11771-0685

Phone(631) 512-3079

Organization SubpartNo

Authorized OfficialDaisy Denise RodriguezFounder · (631) 512-3079

Enumeration DateMay 18, 2023

Last NPPES UpdateOctober 24, 20232 updates tracked since enumeration

NPPES CertifiedOctober 24, 2023

✔ NPI 1427749688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

1227 MAIN ST STE 302, Port Jefferson, NY 11777

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Secondary Practice Location 1

Location 1153 Main StCold Spring Harbor, NY 11724-1437 · Phone (631) 512-3079

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

ELIZABETH REYTBLAT HANER

Counselor (Mental Health)

1227 MAIN ST STE 302
PORT JEFFERSON, NY 11777

Suffolk County (631) 527-3747

DAISY DENISE RODRIGUEZ

Counselor (Mental Health)

1227 MAIN ST STE 302
PORT JEFFERSON, NY 11777

Suffolk County (516) 921-0808

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 Cerulean Willow Mental Health Counseling PLLC's NPI number?

The NPI number for Cerulean Willow Mental Health Counseling PLLC is 1427749688. It was assigned to this organization in the NPPES registry on May 18, 2023.

Where is Cerulean Willow Mental Health Counseling PLLC located?

Cerulean Willow Mental Health Counseling PLLC is located at 1227 Main St Ste 302, Port Jefferson, NY 11777. The listed phone number is (631) 512-3079.

What is Cerulean Willow Mental Health Counseling PLLC'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 Cerulean Willow Mental Health Counseling PLLC was last updated on October 24, 2023. 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.