Individual provider Active NPI

Salma Abdou

  • Mental Health Counselor
  • Staten Island, NY
National Provider Identifier
1023675204
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
900 South Ave Ste 300
Staten Island, NY 10314-3428
Phone
(917) 533-9455
NPI assigned
May 23, 2019
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

900 South Ave Ste 300
Staten Island, NY 10314-3428

Mailing address

454 Avenue U
Brooklyn, NY 11223-4011
Phone (347) 921-3250

Other practice location 1

3760 Polar St
Brooklyn, NY 11224-1246
Phone (347) 921-3250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250701004862 NJ Practitioner - Marriage and Family Therapist 3375056492 Reassigns benefits to 1 organization
I20250714002344 NY Practitioner - Mental Health Counselor 3375056492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3760 Polar St
Brooklyn, NY 11224-1246
Phone (917) 533-9455

473 Broadway
Suite 203
Bayonne, NJ 07002-3680
Phone (917) 533-9455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Soul Mental Health Counseling Mental Health CurrentSince May 26, 2025 Accepting new patients

Locations

473 Broadway
Ste 203
Bayonne, NJ 07002
Phone (201) 858-4600

450 Bay Ridge Pkwy
Brooklyn, NY 11209
Phone (718) 491-5320

900 South Ave
Ste 300
Staten Island, NY 10314
Phone (917) 533-9455

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1023675204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234011",
            "telephone_number": "347-921-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SOUTH AVE STE 300",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143428",
            "telephone_number": "917-533-9455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3760 Polar St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112241246",
            "country_code": "US",
            "telephone_number": "347-921-3250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDOU",
        "first_name": "SALMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.