Individual provider Active NPI

Hyacinth Charles, L.M.H.C.

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1093879124
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001901 Issued in NY
Practice address
2701 Ocean Ave Apt 5G
Brooklyn, NY 11229-4619
Phone
(347) 283-4469
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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 001901 NY Primary

Addresses

Primary practice location

2701 Ocean Ave Apt 5G
Brooklyn, NY 11229-4619

Mailing address

2701 Ocean Ave Apt 5G
Brooklyn, NY 11229-4619
Phone (347) 283-4469

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
I20240410000778 NY Practitioner - Mental Health Counselor 8921462664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Brooklyn, NY 11229
Phone (347) 283-4469

1575 Brooklyn Ave
Brooklyn, NY 11210-1930
Phone (347) 283-4469

2701 Ocean Ave Apt
5G
Brooklyn, NY 11229-4619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
001901NYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hyacinth Charles Mental Health Counseling PLLC Mental Health CurrentSince Feb 27, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1093879124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 OCEAN AVE APT 5G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294619",
            "telephone_number": "347-283-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 OCEAN AVE APT 5G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294619",
            "telephone_number": "347-283-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "HYACINTH",
        "name_prefix": "Ms.",
        "credential": "L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.