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

Ivelisse Roman

Individual provider Mental Health Counselor · NPI 1811586795

Ivelisse Roman is a Mental Health Counselor in Middletown, New York. Qualified in 2020, 6 years ago. Practices with Comprehensive Counseling LCSW PLLC, a 46-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

15 Fortune Rd W
Middletown, NY 10941-1625
Phone: (845) 673-7123
Fax: (845) 692-2889
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 3635 Bell Blvd Ste 203, Bayside, NY 11361-2097 — (718) 504-9256

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 013057 (NY)

Record details

NPI number1811586795
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 14, 2021
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026
Mailing address15 Fortune Rd W, Middletown, NY 10941-1625

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Comprehensive Counseling Lcsw Pllc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Middletown