Poder Healing LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PODER HEALING LLC

Practice address

5030 Broadway Ste 630
New York, NY 10034-1611

Phone

(646) 470-0639

Fax

(516) 490-7472

NPI assigned

Aug 17, 2022

Organization subpart

No

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

Authorized official

Name

Alexmi Polanco, LMHCNPI 1770095978

Title

Owner/ Licensed Therapist

Phone

(646) 470-0639

Specialties & licenses 3

Addresses

Practitioners 1

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

• Alexmi Polanco, LMHC

  • Mental Health Counselor
  • New York, NY
  • NPI 1770095978
  NPD Authorized official

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1114645009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 BROADWAY STE 630",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100341611",
            "telephone_number": "646-470-0639",
            "fax_number": "516-490-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 BROADWAY STE 630",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100341611",
            "telephone_number": "646-470-0639",
            "fax_number": "516-490-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODER HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "POLANCO",
        "authorized_official_first_name": "ALEXMI",
        "authorized_official_title_or_position": "OWNER/ LICENSED THERAPIST",
        "authorized_official_telephone_number": "646-470-0639",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew John Pode, RPA-C
• Jacqueline Podel, RD, CDE
• Jessica Podell
• Ronald Mark Podell, MD
• Samuel C Podell, MA
• Poder Mental Health Counseling PLLC
• Sophie Podeswik, RDN
• Areta D Podhorodecki, M.D.
• Podiatric Medicine Group PC
• Podiatric Or of Midtown Manhattan, P.C.

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.