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

Jodianne Fitzgerald

Individual provider Mental Health Counselor · NPI 1619433455

Jodianne Fitzgerald is a Mental Health Counselor in East Islip, New York. Qualified in 2021, 5 years ago. Practices with Nassau Medical Home Visits PC, a 6-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2019
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Practice location Address checks out

200 Carleton Ave Ste D
East Islip, NY 11730-1222
Phone: (631) 621-8152
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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 013915 (NY)

Record details

NPI number1619433455
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 18, 2019
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 19, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Nassau Medical Home Visits Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in East Islip