Individual provider Active NPI

Erica Morgan Sobolow, M.S., LMHC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1063754331
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
006421 Issued in NY
Practice address
2665 Brown St
Brooklyn, NY 11235-1603
Phone
(718) 344-5271
NPI assigned
Mar 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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 006421 NY Primary

Addresses

Primary practice location

2665 Brown St
Brooklyn, NY 11235-1603

Mailing address

523 E 14TH St Apt 2H
New York, NY 10009-2941
Phone (718) 344-5271

Other identifiers 1

IdentifierTypeStateIssuer
QJ38479XMedicaidNY

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1063754331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 E 14TH ST APT 2H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100092941",
            "telephone_number": "718-344-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 BROWN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351603",
            "telephone_number": "718-344-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBOLOW",
        "first_name": "ERICA",
        "middle_name": "MORGAN",
        "name_prefix": "Ms.",
        "credential": "M.S., LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "QJ38479X",
            "state": "NY"
        }
    ],
    "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 Jan 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.