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

Jhonatan Illera

Individual provider Mental Health Counselor · NPI 1225494883

Jhonatan Illera is a Mental Health Counselor in Fresh Meadows, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016

Practice location Address checks out

19415D 65th Cres
Fresh Meadows, NY 11365-4058
Phone: (646) 244-9987
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 009391 (NY)

Record details

NPI number1225494883
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 12, 2016
Last updated in NPPESMay 26, 2024
Certification dateMay 26, 2024
Mailing address19415d 65th Cres, Fresh Meadows, NY 11365-4058

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