Individual provider Active NPI

Yingyi Deng, MHC-LP

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1154073005
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P111526 Issued in NY
Practice address
25 Elm PL FL 2
Brooklyn, NY 11201-5355
Phone
(718) 802-0666
Fax
(718) 858-9493
NPI assigned
Jan 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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 P111526 NY Primary

Addresses

Primary practice location

25 Elm PL FL 2
Brooklyn, NY 11201-5355

Mailing address

2830 Jackson Ave Apt 42L
Long Island City, NY 11101-3318
Phone (646) 331-3724

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
I20240305004411 NY Practitioner - Mental Health Counselor 0749626331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
New Island Medical Practice PCGroup PAC ID 4789815945, 2 clinicians

Practice addresses (Care Compare)

13107 40TH Rd
Suite E22
Flushing, NY 11354-5270
Phone (718) 939-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P111526NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling and Mediation CurrentSince Jan 26, 2022 Accepting new patients

Locations

25 Elm Pl
Fl 2
Brooklyn, NY 11201
Phone (718) 802-0666

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

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": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1154073005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 JACKSON AVE APT 42L",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013318",
            "telephone_number": "646-331-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ELM PL FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015355",
            "telephone_number": "718-802-0666",
            "fax_number": "718-858-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENG",
        "first_name": "YINGYI",
        "credential": "MHC-LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P111526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.