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

MS. Jill Virginia Spadafora, LMHC-D

Individual provider Mental Health Counselor · NPI 1073906863

MS. Jill Virginia Spadafora, LMHC-D is a Mental Health Counselor in Wyandanch, New York. Qualified in 2015, 11 years ago. Practices with Welllife Network Inc, a 17-clinician group. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015

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 D007785 (NY)

Record details

NPI number1073906863
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC-D
Sole proprietorYes
NPI enumeratedMarch 18, 2015
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Welllife Network Inc — 17 clinicians
Accepts Medicare assignment Not indicated

Other providers in Wyandanch