Active NPI
Kaitlin Cheung, LMHC
- Mental Health Counselor
- New York, NY
National Provider Identifier
1013574581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 012242
- Practice address
- 29 W 38TH St FL 10
New York, NY 10018-5665 - Phone
- (212) 370-0475
- NPI assigned
- May 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P105660 | ||
| Mental Health Counselor | 101YM0800X | 012242 | NY | Primary |
Addresses
Primary practice location
29 W 38TH St FL 10
New York, NY 10018-5665
Mailing address
29 W 38TH St FL 10
New York, NY 10018-5665
Phone (212) 370-0475
Other practice location 1
14015B Sanford Ave # 2Fl
Flushing, NY 11355-2557
Phone (718) 358-8288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012242 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redeemer Presbyterian Church | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650844800000",
"number": "1013574581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 W 38TH ST FL 10",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100185665",
"telephone_number": "212-370-0475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 W 38TH ST FL 10",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100185665",
"telephone_number": "212-370-0475"
}
],
"practiceLocations": [
{
"address_1": "14015B Sanford Ave # 2Fl",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "NY",
"postal_code": "113552557",
"country_code": "US",
"telephone_number": "718-358-8288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEUNG",
"first_name": "KAITLIN",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-21",
"last_updated": "2022-04-25",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "P105660",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "012242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.