MRS. JESSICA MIRABELLO LMHC
NPI 1477060374
Counselor - Mental Health in Farmingdale, NY

Active since January 02, 2018PECOS EnrolledAccepts Medicare Assignment
500 BI COUNTY BLVD STE 450, FARMINGDALE, NY 11735(718) 264-1640 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 27, 2024, Sep 19, 2024, Apr 24, 2018 (3 updates tracked since 2018).

About Mrs. Jessica Mirabello Lmhc NPPES

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

MRS. JESSICA MIRABELLO LMHC (NPI 1477060374) is an individual mental health provider in Farmingdale, New York, licensed in New York (004593) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1477060374
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JESSICA MIRABELLOCredential: LMHC
Location Address500 BI COUNTY BLVD STE 450Farmingdale, NY 11735-3995
Mailing Address776 Rathbun AveStaten Island, NY 10309-2409 · (718) 614-4943
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJanuary 2, 2018
Last NPPES UpdateSeptember 27, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
NPI 1477060374 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
License Licensed in NY · 004593
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 37PC01065500 (NJ)
500 BI COUNTY BLVD STE 450, Farmingdale, NY 11735

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

Mrs. Jessica Mirabello Lmhc 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 ID8224565791
PECOS Enrollment IDI20241222000018
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.

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.

Behavior Technician
500 BI COUNTY BLVD STE 450
FARMINGDALE, NY 11735
Specialist
500 BI COUNTY BLVD STE 450
FARMINGDALE, NY 11735
Behavior Technician
500 BI COUNTY BLVD STE 450
FARMINGDALE, NY 11735
Specialist
500 BI COUNTY BLVD STE 450
FARMINGDALE, NY 11735
Speech-Language Pathologist
500 BI COUNTY BLVD STE 450
FARMINGDALE, NY 11735
Specialist
500 BI COUNTY BLVD STE 450
FARMINGDALE, NY 11735
Behavior Technician
500 BI COUNTY BLVD STE 450
FARMINGDALE, NY 11735
Behavior Technician
500 BI COUNTY BLVD STE 450
FARMINGDALE, NY 11735

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 Mirabello's NPI number?

The NPI number for Jessica Mirabello is 1477060374. It was assigned to this individual provider in the NPPES registry on January 2, 2018.

Where is Jessica Mirabello located?

Jessica Mirabello practices at 500 Bi County Blvd Ste 450, Farmingdale, NY 11735. The listed phone number is (718) 264-1640.

What is Jessica Mirabello's specialty?

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

Is Jessica Mirabello enrolled in Medicare?

Yes. Jessica Mirabello 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.

When was this NPI record last updated?

The NPPES record for Jessica Mirabello was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.