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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JELISE NIMMONS
NPI 1962321125
Counselor - Mental Health in Wantagh, NY

Active since July 13, 2026
3375 PARK AVE STE 2005, WANTAGH, NY 11793(516) 350-8564(516) 874-2477 Get Directions Write a Review

NPPES record added: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jelise Nimmons NPPES

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

JELISE NIMMONS (NPI 1962321125) is an individual mental health provider in Wantagh, New York and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1962321125
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJELISE NIMMONS
Location Address3375 PARK AVE STE 2005Wantagh, NY 11793-3712
Mailing Address3375 Park Ave Ste 2005Wantagh, NY 11793-3712 · (516) 350-8564 · Fax (516) 874-2477
Phone(516) 350-8564
Fax(516) 874-2477
Sole ProprietorYes
Enumeration DateJuly 13, 2026
NPPES CertifiedJuly 13, 2026
✔ NPI 1962321125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3375 PARK AVE STE 2005, Wantagh, NY 11793
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Other Providers at the Same Location NPPES 5

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

EMILY LAMPASONE
Counselor (Mental Health)
3375 PARK AVE STE 2005
WANTAGH, NY 11793
Nassau County (516) 350-8564
JACOB T YOTS LMSW
Social Worker
3375 PARK AVE STE 2005
WANTAGH, NY 11793
Nassau County (516) 350-8564
ASHLEY SIMOS LMSW
Social Worker
3375 PARK AVE STE 2005
WANTAGH, NY 11793
Nassau County (516) 781-1911
ANITA LOUISE WITTNER
Art Therapist
3375 PARK AVE STE 2005
WANTAGH, NY 11793
Nassau County (516) 946-2712
MISS ALEXANDRA BROWN LMHC, CASAC
Counselor (Mental Health)
3375 PARK AVE STE 2005
WANTAGH, NY 11793
Nassau County (516) 350-8564

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 Jelise Nimmons's NPI number?

The NPI number for Jelise Nimmons is 1962321125. It was assigned to this individual provider in the NPPES registry on July 13, 2026.

Where is Jelise Nimmons located?

Jelise Nimmons practices at 3375 Park Ave Ste 2005, Wantagh, NY 11793. The listed phone number is (516) 350-8564.

What is Jelise Nimmons'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 Jelise Nimmons was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.