Lic Marriage and Family Therapy PLLC
NPI 1306412077 · Marriage & Family Therapist · Long Island City, NY
Lic Marriage and Family Therapy PLLC is a Marriage & Family Therapist organization in Long Island City, NY (NPI 1306412077).
Provider details
- NPI number
- 1306412077
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jennifer Disomma, Marriage and Family Therapist(631) 365-9350
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-06-02
- Last updated
- 2023-07-27
- Certified
- 2023-07-27
Frequently asked questions
- What is Lic Marriage and Family Therapy PLLC's NPI number?
- Lic Marriage and Family Therapy PLLC's National Provider Identifier (NPI) is 1306412077, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lic Marriage and Family Therapy PLLC?
- Lic Marriage and Family Therapy PLLC is classified in the NPPES registry as Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Lic Marriage and Family Therapy PLLC located?
- Lic Marriage and Family Therapy PLLC's practice location on file with NPPES is 3164 21st St # 121, Long Island City, NY 11106-4573.
- What is Lic Marriage and Family Therapy PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lic Marriage and Family Therapy PLLC is (631) 365-9350.
- Who is the authorized official for Lic Marriage and Family Therapy PLLC?
- The authorized official listed on Lic Marriage and Family Therapy PLLC's NPPES record is Jennifer Disomma, Marriage and Family Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lic Marriage and Family Therapy PLLC's NPI active?
- Yes — Lic Marriage and Family Therapy PLLC's NPI (1306412077) is active in the NPPES registry as of the last update on 2023-07-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.