Individual provider Active NPI

Valeriya Dvorkin

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1083542211
Registry record updated May 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
017904-01 Issued in NY
Practice address
2502 86TH St FL 3
Brooklyn, NY 11214-4440
Phone
(347) 391-4205
NPI assigned
May 9, 2026
Last updated
May 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2026

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 017904-01 NY Primary

Addresses

Primary practice location

2502 86TH St FL 3
Brooklyn, NY 11214-4440

Mailing address

2502 86TH St FL 3
Brooklyn, NY 11214-4440
Phone (347) 391-4205

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
I20260609000910 NY Practitioner - Mental Health Counselor 8921579103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Touro Un Col of Osteopathic Medicine, New York, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2502 86TH St
FL 3
Brooklyn, NY 11214-4440

45 Hinckley PL Apt
5I
Brooklyn, NY 11218-3475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
017904-01NYMDMental Health Counselor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1778284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778284800000",
    "number": "1083542211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 86TH ST FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144440",
            "telephone_number": "347-391-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 86TH ST FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144440",
            "telephone_number": "347-391-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DVORKIN",
        "first_name": "VALERIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-09",
        "last_updated": "2026-05-09",
        "certification_date": "2026-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "017904-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.