Individual provider Active NPI

Viviana Emmanuela Emile

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1114717006
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P134704 Issued in NY
Practice address
535 Clinton Ave Ste 2
Brooklyn, NY 11238-6590
Phone
(718) 704-1986
Fax
(347) 725-3316
NPI assigned
May 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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 P134704 NY Primary

Addresses

Primary practice location

535 Clinton Ave Ste 2
Brooklyn, NY 11238-6590

Mailing address

1244 Pacific St Apt 4a
Brooklyn, NY 11216-5612
Phone (347) 383-0763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P134704NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling and Mediation CurrentSince May 18, 2025 Accepting new patients

Locations

535 Clinton Ave
Ste 2
Brooklyn, NY 11238
Phone (718) 704-1986

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": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1114717006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 PACIFIC ST APT 4A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112165612",
            "telephone_number": "347-383-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 CLINTON AVE STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112386590",
            "telephone_number": "718-704-1986",
            "fax_number": "347-725-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMILE",
        "first_name": "VIVIANA",
        "middle_name": "EMMANUELA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P134704",
            "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 May 12, 2025; 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.