Active NPI
Miseon Kang, LCAT, ATR-BC
- Art Therapist
- Brooklyn, NY
National Provider Identifier
1013575554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- LCAT000594-1
- Practice address
- Brooklyn Psychotherapy
148 Wilson Ave
Brooklyn, NY 11237 - Phone
- (347) 474-8464
- Fax
- (347) 630-0519
- NPI assigned
- May 30, 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 | |||
| Art Therapist | 221700000X | LCAT000594-1 | NY | Primary |
Addresses
Primary practice location
Brooklyn Psychotherapy
148 Wilson Ave
Brooklyn, NY 11237
Mailing address
Brooklyn Psychotherapy
705 Manhattan Avenue
Brooklyn, NY 11222
Phone (347) 474-8464
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 |
|---|---|---|---|
| LCAT000594-1 | NY | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559692800000",
"number": "1013575554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BROOKLYN PSYCHOTHERAPY",
"address_2": "705 MANHATTAN AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11222",
"telephone_number": "347-474-8464",
"fax_number": "397-630-0519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BROOKLYN PSYCHOTHERAPY",
"address_2": "148 WILSON AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11237",
"telephone_number": "347-474-8464",
"fax_number": "347-630-0519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "MISEON",
"name_prefix": "Ms.",
"credential": "LCAT, ATR-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-30",
"last_updated": "2019-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "LCAT000594-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.