Active NPI
Elijah Muhammad Jean
- Mental Health Counselor
- Brooklyn, NY
National Provider Identifier
1063250272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 131136
- Practice address
- 3807-3809 Church Ave
Brooklyn, NY 11203 - Phone
- (718) 940-2200
- NPI assigned
- Jul 20, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 131136 | NY | Primary |
Addresses
Primary practice location
3807-3809 Church Ave
Brooklyn, NY 11203
Mailing address
300 45TH St S
Fargo, ND 58103-1189
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harlem Family Services, Inc | Counselor | Current | Accepting new patients |
| Global Trauma Research Inc. | Past | Accepting new patients | |
| Haitian Centers Council Inc | Past | Accepting new patients |
Locations
15 W 39th St
Fl 2
New York, NY 10018
Phone (212) 564-6006
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Brooklyn, NY
- NPI 1619495512
-
dba Haitian American Community Coalition
- Adult Mental Health Clinic/Center
- Brooklyn, NY
- NPI 1962928408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1063250272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 45TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581031189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3807-3809 CHURCH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11203",
"telephone_number": "718-940-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN",
"first_name": "ELIJAH MUHAMMAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-20",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "131136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.