Individual provider Active NPI

Linzy Andre, MSED, MHC, NCC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1134595069
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007735 Issued in NY
Practice address
39 West 32ND Street
Suite 1502
New York, NY 10001-3841
Phone
(347) 415-4590
NPI assigned
Aug 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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 007735 NY Primary

Addresses

Primary practice location

39 West 32ND Street
Suite 1502
New York, NY 10001-3841

Mailing address

39 West 32ND Street
Suite 1502
New York, NY 10001-3841
Phone (347) 415-4590

Other practice location 1

55 W 125th St Fl 10
New York, NY 10027-4516
Phone (212) 864-4128 ext. 2722

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
007735NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1134595069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 WEST 32ND STREET",
            "address_2": "SUITE 1502",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013841",
            "telephone_number": "347-415-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 WEST 32ND STREET",
            "address_2": "SUITE 1502",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013841",
            "telephone_number": "347-415-4590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 W 125th St Fl 10",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100274516",
            "country_code": "US",
            "telephone_number": "212-864-4128 x2722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRE",
        "first_name": "LINZY",
        "credential": "MSED, MHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-14",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.