MARINA AVETISOVA (NPI# 1568936755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568936755 |
| Entity Type | Individual |
| Full Name | MARINA AVETISOVA |
| Credential | LMHC-LP |
| Practice Address |
275 North St Harrison NY 10528-1140 |
| Practice Telephone | 9149255346 |
| Practice Fax Number | 9149255176 |
| Mailing Telephone | 9149255346 |
| Mailing Fax Number | 9149255176 |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
275 NORTH ST |
| City | HARRISON |
| State | NY |
| Zip Code | 10528-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606094 | Daniel Orr | Counselor | 275 North St, Harrison, NY 10528-1140 | 2020-10-12 |
| 1447858519 | Tyler Mays | Case Manager/Care Coordinator | 275 North St, Harrison, NY 10528-1140 | 2020-10-12 |
| 1144834201 | Alessandra Palladino | Counselor | 275 North St, Harrison, NY 10528-1140 | 2020-09-04 |
| 1346850484 | Rebecca Brown | Registered Nurse | 275 North St, Harrison, NY 10528-1140 | 2020-08-04 |
| 1770112443 | Shana Beth Sobel | Counselor | 275 North St, Harrison, NY 10528-1140 | 2020-04-05 |
| 1124652144 | Patricia Christophe | Social Worker | 275 North St, Harrison, NY 10528-1140 | 2020-02-28 |
| 1154952679 | Samantha Gendler | Social Worker | 275 North St, Harrison, NY 10528 | 2020-02-03 |
| 1295365070 | Cameica K Fogah | Social Worker | 275 North St, Harrison, NY 10528-1140 | 2020-01-21 |
| 1942830104 | James Dimartino | Peer Specialist | 275 North St, Harrison, NY 10528-1140 | 2020-01-16 |
| 1447890694 | Laura Terwilliger | Case Manager/Care Coordinator | 275 North St, Harrison, NY 10528-1140 | 2020-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018937 | Angela Claire Schiz | Dietetic Technician, Registered | Balance 3h Plus Medical Weight Loss Center, 450 Mamaroneck Ave Suite #413, Harrison, NY 10528 | 2020-09-16 |
| 1093214884 | Maria Cecylia Pytel | Occupational Therapy Assistant | 450 Mamaroneck Ave Suite412, Harrison, NY 10528 | 2018-02-07 |
| 1942573696 | Westchester Therapy Solutions Ot Pt St, Pllc | Early Intervention Provider Agency | 450 Mamaroneck Avenue, Suite 412, White Plains, NY 10528 | 2012-02-10 |
| 1417231051 | Claire Zucker | Speech-Language Pathologist | 480 Harrison Avenue, Harrison Avenue School, Harrison, NY 10528 | 2011-09-30 |
| 1295016590 | Amy Lauren Podolak | Speech-Language Pathologist | 75 Fenimore Drive, Harrison, NY 10528 | 2011-08-31 |
| 1063646321 | Ortho-range Ltd. | Durable Medical Equipment & Medical Supplies | 49 Halstead Avenue, Harrison, NY 10528 | 2009-05-14 |
| 1508037615 | Deanna Kwan | Psychologist | 600 Mamaroneck Ave., Suite 400, Harrison, NY 10528 | 2008-03-17 |
| 1043401797 | Seth Pearl, Chiropractor, PC | Chiropractor | 450 Mamaroneck Ave Ste 413, Harrison, NY 10528 | 2007-08-07 |
| 1912120726 | Eran Feit | Psychiatry & Neurology | 275 North St., Harrison, NY 10528 | 2007-04-10 |
| 1669519708 | Bo Young Chun | Dentist | 47-49 Halstead Ave. #101, Harrison, NY 10528 | 2007-01-30 |
| Find all providers in zip 10528 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891212775 | John Caplinger | Counselor | 120 May Dr, Harrison, OH 45030-2024 | 2017-08-23 |
| 1922606094 | Daniel Orr | Counselor | 275 North St, Harrison, NY 10528-1140 | 2020-10-12 |
| 1639781552 | Kerrie Lovins | Counselor | 120 May Dr, Harrison, OH 45030-2024 | 2020-08-21 |
| 1598374399 | Brandi L Justice | Counselor | 120 May Dr, Harrison, OH 45030-2024 | 2020-07-28 |
| 1922635184 | Megan French | Counselor | 120 May Dr, Harrison, OH 45030-2024 | 2020-03-26 |
| 1750921409 | Kevin Adam Mcdonough | Counselor | 275 North St, Harrison, NY 10528-1140 | 2020-01-10 |
| 1851862346 | Mariah Darrah | Counselor | 275 North St, Harrison, NY 10528-1140 | 2018-12-10 |
| 1073095279 | Carmen Passaretti | Counselor | 275 North St, Harrison, NY 10528 | 2018-09-04 |
| 1972085173 | Gregory Sarles | Counselor | 275 North St, Harrison, NY 10528-1140 | 2018-09-04 |
| 1750863577 | Lisa Britvan | Counselor | 275 North St, Harrison, NY 10528-1140 | 2018-08-29 |
| Find all providers in HARRISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.