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NPI Code Detail

MEDICARE: KRYSTAL ORTIZ LMHC MENTAL HEALTH COUNSELING PLLC

MEDICARE: KRYSTAL ORTIZ LMHC MENTAL HEALTH COUNSELING PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1154261295
Entity Type Code : Organization
Provider Name (Legal Business Name) : KRYSTAL ORTIZ LMHC MENTAL HEALTH COUNSELING PLLC
Provider Business Mailing Address
First Line : 5731 65TH ST
Second Line :
City : MASPETH
State : NY
Zip : 11378-2824
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6344 SAUNDERS ST
Second Line :
City : REGO PARK
State : NY
Zip : 11374-2039
Country : US
Telephone Number : 929-378-5005
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KRYSTAL ORTIZ
Credential :
Telephone Number : 929-378-5005
Provider Enumeration Date : 03/30/2026
Last Update Date : 06/11/2026

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