Individual provider Active NPI

Stephanie Caceres-Yagual, LMHCD

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1033751797
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
41 Flatbush Ave Ste 1
Brooklyn, NY 11217-1145
Phone
(646) 762-0707
NPI assigned
Oct 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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 NY Primary

Addresses

Primary practice location

41 Flatbush Ave Ste 1
Brooklyn, NY 11217-1145

Mailing address

382 Randall Rd
Ridge, NY 11961-2108
Phone (347) 458-6161

Other practice location 1

382 Randall Rd
Ridge, NY 11961-2108
Phone (347) 458-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250709003403 NY Practitioner - Mental Health Counselor 6709390834 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Therapy Mental Health Counseling Professional Corporation CurrentSince May 8, 2025 Accepting new patients

Locations

41 Flatbush Ave
Ste 1
Brooklyn, NY 11217
Phone (562) 622-2800

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": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1033751797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 RANDALL RD",
            "city": "RIDGE",
            "state": "NY",
            "postal_code": "119612108",
            "telephone_number": "347-458-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 FLATBUSH AVE STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171145",
            "telephone_number": "646-762-0707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "382 Randall Rd",
            "address_purpose": "LOCATION",
            "city": "Ridge",
            "state": "NY",
            "postal_code": "119612108",
            "country_code": "US",
            "telephone_number": "347-458-6161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CACERES-YAGUAL",
        "first_name": "STEPHANIE",
        "credential": "LMHCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.