Provider Demographics
NPI:1942851787
Name:THORBJORNSEN, JAMIE NICOLE (LMHC)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:NICOLE
Last Name:THORBJORNSEN
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 1:5505 NESCONSET HWY STE 222
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-2026
Mailing Address - Country:US
Mailing Address - Phone:631-828-2264
Mailing Address - Fax:
Practice Address - Street 1:5505 NESCONSET HWY STE 222
Practice Address - Street 2:
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-2026
Practice Address - Country:US
Practice Address - Phone:631-828-2264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-23
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012639101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health