Active NPI
Mind Body Mental Health Counseling Services PLLC
- Mental Health Counselor
- Brooklyn, NY
National Provider Identifier
1083495261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MIND BODY MENTAL HEALTH COUNSELING SERVICES PLLC
- Practice address
- 1416 48TH St
Brooklyn, NY 11219-3243 - Phone
- (917) 474-5034
- NPI assigned
- Oct 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Menachem M Kiwak, LMHC
- Title
- Owner
- Phone
- (917) 474-5034
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1416 48TH St
Brooklyn, NY 11219-3243
Mailing address
9 Knight Dr
Jackson, NJ 08527-5180
Phone (917) 474-5034
Other practice location 1
1170 39th St
Brooklyn, NY 11218-1931
Phone (917) 474-5034
National Provider Directory
National Provider DirectoryLocations
1170 39th St
Brooklyn, NY 11218
Phone (917) 474-5034
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Brooklyn, NY
- NPI 1861850430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697068800000",
"number": "1083495261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 KNIGHT DR",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085275180",
"telephone_number": "917-474-5034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1416 48TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112193243",
"telephone_number": "917-474-5034"
}
],
"practiceLocations": [
{
"address_1": "1170 39th St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112181931",
"country_code": "US",
"telephone_number": "917-474-5034",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MIND BODY MENTAL HEALTH COUNSELING SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-12",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A",
"authorized_official_last_name": "KIWAK",
"authorized_official_first_name": "MENACHEM",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-474-5034",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Marlene Minaya
- Roza Minazova
- Jessica Minchala Correa, LMSW
- Simon Minchow
- Mind Body Connect Nurse Practitioner in Psychiatry PLLC
- Mind Body Psychiatry
- Mind Bridges Psychology PLLC
- Mind Cafe NP in Psychiatry & Acute Care, PLLC
- Mind Harbor Nurse Practitioner in Psychiatry Services PLLC
- Mind Matters LCSW PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.