Elizabeth Wallenstein, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

004253 Issued in NY

Practice address

255 Avenue W
Brooklyn, NY 11223-5202

Phone

(866) 569-7233

Fax

(718) 336-6815

NPI assigned

Aug 19, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Safe Foundation

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Brooklyn, NY
  • NPI 1598078735
  NPD (past)
• The Safe Foundation, Inc

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1770759748
  NPD (past)

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1073829784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230060",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112230060",
            "telephone_number": "866-569-7233",
            "fax_number": "718-336-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 AVENUE W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235202",
            "telephone_number": "866-569-7233",
            "fax_number": "718-336-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLENSTEIN",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Scott Wallach
• Anne Beverly Wallach, MSW
• Jacob Wallach, DPM
• Jeffrey Michael Wallach, L.C.S.W.-R.
• William Jacob Wallach
• Nyasha Waller, CM, LM
• Shakira Kashmere Waller
• Simone M. Wallerson-Hughes, LPN
• Malka Wallerstein Zicherman
• Gitti Wallerstein, RD

• All providers in Brooklyn, NY
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.