MEDICARE: KARINA ANDREA AQUINO 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	014011	NY

General Provider Information

NPI Number	:	1801663125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARINA ANDREA AQUINO LMHC

Provider Business Mailing Address
First Line	:	10470 QUEENS BLVD FL 2
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-3638
Country	:	US
Telephone Number	:	718-275-6010
Fax Number	:

Provider Business Practice Location Address
First Line	:	8211 37TH AVE FL 9
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-7001
Country	:	US
Telephone Number	:	888-272-9355
Fax Number	:

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

Provider Enumeration Date	:	12/06/2023
Last Update Date	:	02/06/2025

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