Kristy Marie Rosendorf, MHC-LP
Counselor, Mental Health in Staten Island, NY. Individual provider (NPI-1).
NPI number1245046499
StatusActive
Last updated in NPPESDec 3, 2024
Details
- NPI
- 1245046499
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kristy Marie Rosendorf
- Credential
- MHC-LP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 3, 2024
- Certification date
- Dec 3, 2024
- Last updated
- Dec 3, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | P132150 | NY | Yes |
Practice location
50 Oceanic AveStaten Island, NY 10312-6512
Phone 718-902-2113
Mailing address
50 Oceanic AveStaten Island, NY 10312-6512
Phone 718-902-2113
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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