MEDICARE: TORRETTA MENTAL HEALTH COUNSELOR PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	1041C0700X	Clinical Social Worker
3	106H00000X	Marriage & Family Therapist
4	101YP2500X	Professional Counselor
5	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1619683497
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TORRETTA MENTAL HEALTH COUNSELOR PLLC

Provider Business Mailing Address
First Line	:	15 FRANCINE DR N
Second Line	:
City	:	MASSAPEQUA
State	:	NY
Zip	:	11758-3617
Country	:	US
Telephone Number	:	718-928-8905
Fax Number	:	718-360-0215

Provider Business Practice Location Address
First Line	:	7 SALEM DR
Second Line	:
City	:	STONY BROOK
State	:	NY
Zip	:	11790-1322
Country	:	US
Telephone Number	:	718-928-8905
Fax Number	:	718-360-0215

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	MS. NIKKI TORRETTA
Credential	:	LMHC
Telephone Number	:	718-928-8905

Provider Enumeration Date	:	01/25/2023
Last Update Date	:	05/15/2026

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