Agnes G Jaiman, LMHC
Counselor, Mental Health in Staten Island, New York
1679225429- Practice location
- 235 Port Richmond Ave, Staten Island, NY 10302-1701
- Phone
- 718-876-1732
- Fax
- 718-815-3462
- Last updated
- January 24, 2022
Agnes G Jaiman is a Counselor, Mental Health based in Staten Island, NY. Agnes G Jaiman practices in Staten Island, NY and has the professional credentials of LMHC. The NPI Number for Agnes G Jaiman is 1679225429 and holds a License No. 012045 (NY). The current practice location address for Agnes G Jaiman is 235 Port Richmond Ave, Staten Island, NY 10302-1701 and can be reached out via phone at 718-876-1732 and via fax at 718-815-3462.
Provider Profile Details
- NPI Number
- 1679225429
- Provider Name
- Agnes G Jaiman
- Credential
- LMHC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 235 Port Richmond Ave, Staten Island, NY 10302-1701
- Phone Number
- 718-876-1732
- Fax Number
- 718-815-3462
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 24, 2022
- Last Update Date
- January 24, 2022
- Certification Date
- January 24, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 235 Port Richmond Ave
Staten Island, NY 10302-1701 - City
- Staten Island
- State
- New York
- Zip
- 10302-1701
- Phone Number
- 718-876-1732
- Fax Number
- 718-815-3462
Provider Business Mailing Address Details
- Address
- 439 Port Richmond Ave
Staten Island, NY 10302-1714 - City
- Staten Island
- State
- NY
- Zip
- 10302-1714
- Phone Number
- 718-924-2254
- Fax Number
- 718-442-0189
License Information
- License Number
- 012045
- License State
- NY
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Agnes G Jaiman, LMHC?
The NPI number of Agnes G Jaiman, LMHC is 1679225429. It was assigned on January 24, 2022 and is currently active in the NPPES registry.
What is the specialty of Agnes G Jaiman, LMHC?
Agnes G Jaiman, LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NY under license number 012045.
Where does Agnes G Jaiman, LMHC practice?
The practice location is 235 Port Richmond Ave, Staten Island, NY 10302-1701. The office can be reached at 718-876-1732 (phone) or 718-815-3462 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679225429 directly on the NPPES registry website.