Individual provider Active NPI

Jazman Mona Ifill

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1063188498
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2896 Shell Rd Ste 501
Brooklyn, NY 11224-3609
Phone
(929) 833-8993
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

2896 Shell Rd Ste 501
Brooklyn, NY 11224-3609

Mailing address

2896 Shell Rd Ste 501
Brooklyn, NY 11224-3609
Phone (929) 833-8993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1063188498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2896 SHELL RD STE 501",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243609",
            "telephone_number": "929-833-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2896 SHELL RD STE 501",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243609",
            "telephone_number": "929-833-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IFILL",
        "first_name": "JAZMAN",
        "middle_name": "MONA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "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.