Corey Joan Proverdi, LCAT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

002302 Issued in NY

Practice address

1125 Fulton St
Brooklyn, NY 11238-2669

Phone

(347) 226-9025

NPI assigned

Jul 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sus Mental Health Programs, Inc.

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1053696195

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1144838798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 UNION ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151307",
            "telephone_number": "646-801-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382669",
            "telephone_number": "347-226-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVERDI",
        "first_name": "COREY",
        "middle_name": "JOAN",
        "name_prefix": "Mrs.",
        "credential": "LCAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "002302",
            "primary": true
        },
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": "NY",
            "license": "002302-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Brooklyn",
            "affiliation": "N",
            "address_1": "1125 Fulton St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112382669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mei Protzel
• Proud Moments Therapy PLLC
• Brian Proud
• Proven Care LLC
• Louis Provenzano
• Providence Care Inc
• Providence House
• Eitel Emanuel Providence, M.D.
• Karen Providence
• Lacey D Providence, REGISTERED NURSE

• Mental Health Counselor in Brooklyn, NY
• Providers in Brooklyn, 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 Nov 21, 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.