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

Individual provider Mental Health Counselor · NPI 1508611625

Jean-Ralph Petido, LMHC is a Mental Health Counselor in Mount Vernon, New York. Qualified in 2022, 4 years ago. Practices with Beacon Place LLC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2024
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

2 Wilson Pl Fl 2
Mount Vernon, NY 10550-2602
Phone: (914) 668-9124
Fax: (914) 668-0940
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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 014622 (NY)

Record details

NPI number1508611625
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHC
Sole proprietorNo
NPI enumeratedApril 22, 2024
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Beacon Place Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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