Provider Demographics
NPI:1245844679
Name:RACIOPPI MENTAL HEALTH COUNSELING PLLC
Entity type:Organization
Organization Name:RACIOPPI MENTAL HEALTH COUNSELING PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:RACIOPPI
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:516-660-1741
Mailing Address - Street 1:1668 VANDERVORT HILL RD
Mailing Address - Street 2:
Mailing Address - City:UNADILLA
Mailing Address - State:NY
Mailing Address - Zip Code:13849-2394
Mailing Address - Country:US
Mailing Address - Phone:607-369-9043
Mailing Address - Fax:607-369-9043
Practice Address - Street 1:1668 VANDERVORT HILL RD
Practice Address - Street 2:
Practice Address - City:UNADILLA
Practice Address - State:NY
Practice Address - Zip Code:13849-2394
Practice Address - Country:US
Practice Address - Phone:607-369-9043
Practice Address - Fax:607-369-9043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-02
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY176063759Medicaid
NY1770827602Medicaid
NY1932712197Medicaid
NY1023532447Medicaid
NY1467804989Medicaid