Active NPI
Jenniffer Castillo Ortiz, LMHC
- Mental Health Counselor
- Brooklyn, NY
National Provider Identifier
1083324784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 012936-01
- Practice address
- 2129 Cortelyou Rd Apt C1
Brooklyn, NY 11226-6017 - Phone
- (347) 581-2164
- NPI assigned
- Dec 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 012936-01 | NY | Primary |
Addresses
Primary practice location
2129 Cortelyou Rd Apt C1
Brooklyn, NY 11226-6017
Mailing address
2129 Cortelyou Rd Apt C1
Brooklyn, NY 11226-6017
Phone (347) 581-2164
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240926001707 | NY | Order and Referring Only - Mental Health Counselor | 6800337163 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012936-01 | NY | MD | Mental Health Counselor |
| 012936 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1083324784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2129 CORTELYOU RD APT C1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112266017",
"telephone_number": "347-581-2164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2129 CORTELYOU RD APT C1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112266017",
"telephone_number": "347-581-2164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "JENNIFFER",
"middle_name": "CASTILLO",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-05",
"last_updated": "2022-12-05",
"certification_date": "2022-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "012936-01",
"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 Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.