Individual provider Active NPI

Yara Adam-Whiter, LMHC, CCMHC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1073196689
Registry record updated Jul 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
013416 Issued in NY
Practice address
326 86TH St
Brooklyn, NY 11209-5002
Phone
(347) 509-5210
NPI assigned
May 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P107046 NY
Addiction (Substance Use Disorder) Counselor 101YA0400X 37593 NY
Mental Health Counselor 101YM0800X 013416 NY Primary

Addresses

Primary practice location

326 86TH St
Brooklyn, NY 11209-5002

Mailing address

326 86TH St
Brooklyn, NY 11209-5002
Phone (347) 509-5210

Other identifiers 1

IdentifierTypeStateIssuer
1725329OtherNATIONAL BOARD FOR CERTIFIED COUNSELOR

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.
Opted out of Medicare
Yes, effective Feb 1, 2024 through Feb 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37593NYMDAddiction (Substance Use Disorder) Counselor
P107046NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Therapy Mental Health Counseling PLLC Mental Health CurrentSince Jan 26, 2025 Accepting new patients

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": "1619913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720224000000",
    "number": "1073196689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095002",
            "telephone_number": "347-509-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095002",
            "telephone_number": "347-509-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAM-WHITER",
        "first_name": "YARA",
        "credential": "LMHC, CCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-02",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P107046",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "37593",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD FOR CERTIFIED COUNSELOR",
            "identifier": "1725329",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.