Individual provider Active NPI

Yolene Toussaint-Gourgue

  • Mental Health Counselor
  • Valley Stream, NY
National Provider Identifier
1013653674
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P114586 Issued in NY
Practice address
17 Balfour St
Valley Stream, NY 11580-1524
Phone
(347) 497-2522
NPI assigned
May 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P114586 NY Primary

Addresses

Primary practice location

17 Balfour St
Valley Stream, NY 11580-1524

Mailing address

7649 Hewlett St
New Hyde Park, NY 11040-1429
Phone (212) 388-1903

Other practice location 1

7649 Hewlett St
New Hyde Park, NY 11040-1429
Phone (212) 388-1903

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

LicenseStateTypeSpecialty
P114586NYMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1013653674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7649 HEWLETT ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401429",
            "telephone_number": "212-388-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 BALFOUR ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801524",
            "telephone_number": "347-497-2522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7649 Hewlett St",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110401429",
            "country_code": "US",
            "telephone_number": "212-388-1903",
            "fax_number": "212-388-0767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOUSSAINT-GOURGUE",
        "first_name": "YOLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P114586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.

Verify at the official NPI Registry.