MRS. JENNIFER LYNNE MANDATO TRUCIOS CASAC-T, CRPA-P
NPI 1538731369
Counselor - Addiction (Substance Use Disorder) in Staten Island, NY

Q: What is Jennifer Mandato Trucios's NPI number?

The NPI number for Jennifer Mandato Trucios is 1538731369. It was assigned to this individual provider in the NPPES registry on July 12, 2021. The provider is also known as Ms. Jennifer Lynne Mandato.

Q: What is Jennifer Mandato Trucios's specialty?

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

Active since July 12, 2021

CAMELOT, 460 BRIELLE AVENUE, STATEN ISLAND, NY 10309(134) 792-3137 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2026, Jul 12, 2021 (2 updates tracked since 2021).

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About Mrs. Jennifer Lynne Mandato Trucios Casac-t, Crpa-p NPPES

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

MRS. JENNIFER LYNNE MANDATO TRUCIOS CASAC-T, CRPA-P (NPI 1538731369) is an individual addiction (substance use disorder) provider in Staten Island, New York, licensed in New York (37240) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1538731369

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMRS. JENNIFER LYNNE MANDATO TRUCIOSCredential: CASAC-T, CRPA-P

Location AddressCAMELOT, 460 BRIELLE AVENUEStaten Island, NY 10309

Mailing Address6465 Transit RoadEast Amherst, NY 14051 · (716) 588-4292

Phone(134) 792-3137

Sole ProprietorNo

Enumeration DateJuly 12, 2021

Last NPPES UpdateJanuary 6, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2026

✔ NPI 1538731369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in NY · 37240

Also ListedSocial WorkerTaxonomy 104100000X

CAMELOT, 460 BRIELLE AVENUE, Staten Island, NY 10309

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Other Names 1

Former Name (1)Ms. Jennifer Lynne Mandato

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 Jennifer Mandato Trucios's NPI number?

The NPI number for Jennifer Mandato Trucios is 1538731369. It was assigned to this individual provider in the NPPES registry on July 12, 2021. The provider is also known as Ms. Jennifer Lynne Mandato.

Where is Jennifer Mandato Trucios located?

Jennifer Mandato Trucios practices at Camelot, 460 Brielle Avenue, Staten Island, NY 10309. The listed phone number is (134) 792-3137.

What is Jennifer Mandato Trucios'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 Jennifer Mandato Trucios was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.