Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jorge Octavio Villella III

Individual provider Professional Counselor · NPI 1992042766

Dr. Jorge Octavio Villella III is a Professional Counselor in Northport, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013

Practice location Address checks out

1 Trescott Path
Northport, NY 11768-2535
Phone: (631) 292-2404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 121894 (NY)

Record details

NPI number1992042766
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 13, 2013
Last updated in NPPESJanuary 13, 2013