MEDICARE: MS. NIKKI TORRETTA LMHC

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
1	101YM0800X	Mental Health Counselor	P07724	NY
2	101YM0800X	Mental Health Counselor	010410	NY

General Provider Information

NPI Number	:	1740708510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NIKKI TORRETTA LMHC

Provider Business Mailing 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	:

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	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2017
Last Update Date	:	04/22/2026

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