Provider Demographics
NPI:1316024532
Name:ROBEY, JEANETTE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:JEANETTE
Middle Name:
Last Name:ROBEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 445
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-0445
Mailing Address - Country:US
Mailing Address - Phone:516-510-9436
Mailing Address - Fax:
Practice Address - Street 1:3 CHERYL LN S
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-4410
Practice Address - Country:US
Practice Address - Phone:516-510-9436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000002101Y00000X, 101YM0800X
NY12352101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY12352OtherCASAC
NY07658937Medicaid
NY000002OtherLMHC