Active NPI
Lynn Min
- Mental Health Counselor
- Staten Island, NY
National Provider Identifier
1013829951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7618-01
- Practice address
- 535 Jefferson Blvd
Staten Island, NY 10312-2225 - Phone
- (646) 236-1777
- NPI assigned
- Sep 17, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7618-01 | NY | Primary |
Addresses
Primary practice location
535 Jefferson Blvd
Staten Island, NY 10312-2225
Mailing address
535 Jefferson Blvd
Staten Island, NY 10312-2225
Phone (646) 236-1777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1013829951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 JEFFERSON BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103122225",
"telephone_number": "646-236-1777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 JEFFERSON BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103122225",
"telephone_number": "646-236-1777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIN",
"first_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-17",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "7618-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.