Individual provider Active NPI

Justin Matthew Silk, LMHC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1073225835
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
012064 Issued in NY
Practice address
101 Sherman Ave Apt 6J
New York, NY 10034-5635
Phone
(216) 210-4636
NPI assigned
Dec 22, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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 012064 NY Primary

Addresses

Primary practice location

101 Sherman Ave Apt 6J
New York, NY 10034-5635

Mailing address

101 Sherman Ave Apt 6J
New York, NY 10034-5635
Phone (216) 210-4636

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
I20240206000620 NY Practitioner - Mental Health Counselor 9335582410 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health CurrentSince Jan 1, 2024 Accepting new patients
The Institute for Family Health CurrentSince Jan 1, 2024 Accepting new patients
The Institute for Family Health Current Accepting new patients
The Institute for Family Health Past Accepting new patients

Locations

1420 Ferris Pl
Ste 1
Bronx, NY 10461
Phone (718) 239-1610

1420 Ferris Pl
Bronx, NY 10461
Phone (718) 239-1610

130 W Tremont Ave
Bronx, NY 10453
Phone (718) 299-3045

1894 Walton Ave
Bronx, NY 10453
Phone (718) 583-2508

731 White Plains Rd
Bronx, NY 10473
Phone (718) 589-8324

6 Healthy Way
Ellenville, NY 12428
Phone (845) 647-4500

11 Crum Elbow Rd
Hyde Park, NY 12538
Phone (845) 229-1020

140 Pine St
Kingston, NY 12401
Phone (844) 434-2778

1 Foxhall Ave
Kingston, NY 12401
Phone (845) 338-1535

1 Family Practice Dr
Kingston, NY 12401
Phone (845) 338-2562

279 Main St
New Paltz, NY 12561
Phone (845) 255-2930

601 W 114th St
New York, NY 10025
Phone (212) 280-1284

16 E 16th St
New York, NY 10003
Phone (212) 633-0800

1824 Madison Ave
Fl 2
New York, NY 10035
Phone (212) 423-4200

251 W 80th St
New York, NY 10024

230 W 17th St
Fl 68
New York, NY 10011

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

230 W 17th St
New York, NY 10011
Phone (212) 989-8999

2090 Adam Clayton Powell Jr Blvd
New York, NY 10027
Phone (212) 553-6606

690 Amsterdam Ave
New York, NY 10025
Phone (212) 865-4104

Organizations & group practices 4

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": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1073225835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SHERMAN AVE APT 6J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100345635",
            "telephone_number": "216-210-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SHERMAN AVE APT 6J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100345635",
            "telephone_number": "216-210-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILK",
        "first_name": "JUSTIN",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.