JOHANNA FUENTES-MURILLO MS, LAC
NPI 1710790860
Counselor - Mental Health in Staten Island, NY

Active since January 30, 2025
1110 SOUTH AVE, STATEN ISLAND, NY 10314(347) 273-1290 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Johanna Fuentes-murillo Ms, Lac NPPES

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

JOHANNA FUENTES-MURILLO MS, LAC (NPI 1710790860) is an individual mental health provider in Staten Island, New York, licensed in New Jersey (37AC00848500) and active in the NPI registry since January 2025. She maintains a secondary practice location in Millstone.

NPPES Registry Identity

NPI1710790860
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJOHANNA FUENTES-MURILLOCredential: MS, LAC
Location Address1110 SOUTH AVEStaten Island, NY 10314-3403
Mailing Address598 Central Ave Ste 7, Po Box 482New Providence, NJ 07974
Sole ProprietorNo
Enumeration DateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
NPI 1710790860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NJ · 37AC00848500
1110 SOUTH AVE, Staten Island, NY 10314

Other Names 1

Other Name (5)Johanna Fuentes

Secondary Practice Location 1

Location 1Integrated Hearts Counseling and Consultation, LLC, 422 Stage Coach Road, PO Box 424Millstone, NJ 08510 · Phone (201) 723-0713

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.

Psychologist (Clinical)
1110 SOUTH AVE
STATEN ISLAND, NY 10314
Behavior Analyst
1110 SOUTH AVE
STATEN ISLAND, NY 10314
Registered Nurse
1110 SOUTH AVE
STATEN ISLAND, NY 10314
Case Manager/Care Coordinator
1110 SOUTH AVE
STATEN ISLAND, NY 10314
Social Worker
1110 SOUTH AVE
STATEN ISLAND, NY 10314
Counselor (Mental Health)
1110 SOUTH AVE, SUITE 5
STATEN ISLAND, NY 10314
Obstetrics & Gynecology (Gynecology)
1110 SOUTH AVE, SUITE306
STATEN ISLAND, NY 10314
Speech-Language Pathologist
1110 SOUTH AVE
STATEN ISLAND, NY 10314

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 Johanna Fuentes-murillo's NPI number?

The NPI number for Johanna Fuentes-murillo is 1710790860. It was assigned to this individual provider in the NPPES registry on January 30, 2025. The provider is also known as Johanna Fuentes.

Where is Johanna Fuentes-murillo located?

Johanna Fuentes-murillo practices at 1110 South Ave, Staten Island, NY 10314. The listed phone number is (347) 273-1290.

What is Johanna Fuentes-murillo'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 Johanna Fuentes-murillo was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.