Healthcare Provider Details

I. General information

NPI: 1275485013
Provider Name (Legal Business Name): MOSAIC MINDS MENTAL HEALTH COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2115 PECK SETTLEMENT RD
JAMESTOWN NY
14701-9262
US

IV. Provider business mailing address

2115 PECK SETTLEMENT RD
JAMESTOWN NY
14701-9262
US

V. Phone/Fax

Practice location:
  • Phone: 716-499-6418
  • Fax: 716-306-4819
Mailing address:
  • Phone: 716-499-6418
  • Fax: 716-306-4819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE PACITTI
Title or Position: LMHC/OWNER
Credential: LMHC
Phone: 716-499-6418