Individual provider Active NPI

Nirja Mistry

  • Mental Health Counselor
  • Wantagh, NY
National Provider Identifier
1154024313
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3305 Jerusalem Ave Ste 207
Wantagh, NY 11793-2028
Phone
(516) 785-0323
NPI assigned
Mar 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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 Primary

Addresses

Primary practice location

3305 Jerusalem Ave Ste 207
Wantagh, NY 11793-2028

Mailing address

7113 5TH Ave
Brooklyn, NY 11209-1621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260330002912 NY Practitioner - Mental Health Counselor 3274018064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mind View New York Mental Health Counseling, PLLCGroup PAC ID 4183138779, 3 clinicians

Practice addresses (Care Compare)

8914 Parsons Blvd
FL 5
Jamaica, NY 11432-3576
Phone 64649340071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mind View New York Mental Health Counseling PLLC Mental Health CurrentSince Apr 1, 2026 Accepting new patients
South Shore Counseling and Psychological Services P C CurrentSince Sep 1, 2024 Accepting new patients

Locations

8914 Parsons Blvd
Fl 5
Jamaica, NY 11432
Phone (347) 394-8090

3305 Jerusalem Ave
Ste 207
Wantagh, NY 11793
Phone (516) 785-0323

Organizations & group practices 2

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": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1154024313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7113 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 JERUSALEM AVE STE 207",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932028",
            "telephone_number": "516-785-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTRY",
        "first_name": "NIRJA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

Verify at the official NPI Registry.