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

Jeannine Mickulas

Individual provider Mental Health Counselor · NPI 1245650407

Jeannine Mickulas is a Mental Health Counselor in Dix Hills, New York. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2

Practice location Address checks out

43 Arista Dr
Dix Hills, NY 11746-4920
Phone: (631) 683-4393
Show map & directions

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

Additional practice locations (1)

  • 225 Broadhollow Rd, Melville, NY 11747-4822 — (631) 385-7780

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1245650407
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 25, 2014
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024
Mailing address43 Arista Dr, Dix Hills, NY 11746-4920

Other providers in Dix Hills