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

MS. Jessica Rae Balsamo, MHC-LP

Individual provider Mental Health Counselor · NPI 1083299457

MS. Jessica Rae Balsamo, MHC-LP is a Mental Health Counselor in Wyandanch, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

234 Long Island Ave
Wyandanch, NY 11798-3015
Phone: (631) 920-8250
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 18-P134322-02 (NY)

Record details

NPI number1083299457
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHC-LP
Sole proprietorYes
NPI enumeratedMarch 16, 2021
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025

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