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

Individual provider Mental Health Counselor · NPI 1912573049

Jacqueline Mary Imbemba, LMHC is a Mental Health Counselor in Staten Island, New York. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

36 Challenger Dr
Staten Island, NY 10312-1564
Phone: (718) 974-2757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 008754

Record details

NPI number1912573049
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC
Sole proprietorYes
NPI enumeratedMay 30, 2021
Last updated in NPPESMay 30, 2021
Certification dateMay 30, 2021

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