Organization Active NPI

Sacred Self-Love Counseling LCSW PC

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1093677908
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
SACRED SELF-LOVE COUNSELING LCSW PC
Practice address
336 Lafayette Ave
Brooklyn, NY 11238-3308
Phone
(718) 690-6313
NPI assigned
Nov 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Cekira Bush-MiguelNPI 1700200029
Title
Owner
Phone
(718) 419-8111

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)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

336 Lafayette Ave
Brooklyn, NY 11238-3308

Mailing address

2 Ash St Apt 318
Jersey City, NJ 07304-4336
Phone (718) 690-6313

Other practice location 1

2 Ash St Apt 318
Jersey City, NJ 07304-4336
Phone (718) 419-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20260511002680 NY Part B Supplier - Clinic/Group Practice 7416425145 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY
O20260624000720 NJ Part B Supplier - Clinic/Group Practice 7416425145 Receives reassigned benefits from 1 practitioner
Practice locations: Jersey City, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1764374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1093677908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ASH ST APT 318",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073044336",
            "telephone_number": "718-690-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 LAFAYETTE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383308",
            "telephone_number": "718-690-6313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Ash St Apt 318",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073044336",
            "country_code": "US",
            "telephone_number": "718-419-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SACRED SELF-LOVE COUNSELING LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-29",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "BUSH-MIGUEL",
        "authorized_official_first_name": "CEKIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-419-8111"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "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 Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.