JENNA GAZZILLO MHC NPI 1417521980

NPI Information

  • NPI: 1417521980
  • Provider Name: JENNA GAZZILLO, MHC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6 WELLNESS WAY STE 112
    LATHAM, NY
    ZIP 12110
  • Phone: (518) 881-1109

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NPI Details

Jenna Gazzillo, MHC is a mental health counselor in Latham, NY with 4 years of experience. Jenna Gazzillo, MHC NPI is 1417521980. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6 WELLNESS WAY STE 112
LATHAM, NY
ZIP 12110-156
Phone: (518) 881-1109
Fax: (518) 213-6985

The NPI 1417521980 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/18/2021 and was last updated on 2/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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