Active NPI
Yeruchom Edelson, LMHC
- Mental Health Counselor
- Monsey, NY
National Provider Identifier
1144927955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 012981
- Practice address
- 20 Robert Pitt Dr Ste 212
Monsey, NY 10952-3340 - Phone
- (845) 425-2299
- NPI assigned
- Feb 13, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 012981 | NY | Primary |
Addresses
Primary practice location
20 Robert Pitt Dr Ste 212
Monsey, NY 10952-3340
Mailing address
20 Robert Pitt Dr Ste 212
Monsey, NY 10952-3340
Phone (845) 425-2299
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1144927955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 ROBERT PITT DR STE 212",
"city": "MONSEY",
"state": "NY",
"postal_code": "109523340",
"telephone_number": "845-425-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 ROBERT PITT DR STE 212",
"city": "MONSEY",
"state": "NY",
"postal_code": "109523340",
"telephone_number": "845-425-2299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDELSON",
"first_name": "YERUCHOM",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-13",
"last_updated": "2023-02-13",
"certification_date": "2023-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "012981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monsey, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.