Individual provider Active NPI

Melissa Kwiatkowski, LMHC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1093162984
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007190 Issued in NY
Practice address
2044 E 13TH St Apt 6H
Brooklyn, NY 11229-3358
Phone
(347) 276-5345
NPI assigned
May 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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 007190 NY Primary

Addresses

Primary practice location

2044 E 13TH St Apt 6H
Brooklyn, NY 11229-3358

Mailing address

2044 E 13TH St Apt 6H
Brooklyn, NY 11229-3358
Phone (347) 276-5345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • 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
I20250529003414 NY Practitioner - Mental Health Counselor 8628587946 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Octave Psychiatry Behavioral Health PC CurrentSince Apr 6, 2025 Accepting new patients
Octave Psychiatry Behavioral Health PC CurrentSince Apr 6, 2025 Accepting new patients
Octave Behavioral Health PC Past Accepting new patients

Locations

45 E 20th St
Fl 6
New York, NY 10003
Phone (904) 404-5400

286 Madison Ave
Fl 22
New York, NY 10017
Phone (914) 481-3109

Interoperability endpoints

  • Direct secure messaging: melissawillner@tdh.allscriptsdirect.net

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, 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": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1093162984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 E 13TH ST APT 6H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293358",
            "telephone_number": "347-276-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 E 13TH ST APT 6H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293358",
            "telephone_number": "347-276-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWIATKOWSKI",
        "first_name": "MELISSA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.