Active NPI
Xinyu Sun, MA
- Mental Health Counselor
- Jersey City, NJ
National Provider Identifier
1164037073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- AC-GTL-20-01671
- Practice address
- 70 Van Reipen Ave
Jersey City, NJ 07306-2806 - Phone
- (201) 418-8601
- NPI assigned
- Sep 9, 2020
- Sex
- Female
- 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 | AC-GTL-20-01671 | NJ | Primary |
Addresses
Primary practice location
70 Van Reipen Ave
Jersey City, NJ 07306-2806
Mailing address
201 Saint Pauls Ave Apt 4C
Jersey City, NJ 07306-3752
Phone (646) 520-8247
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC-GTL-20-01671 | NJ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1164037073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 SAINT PAULS AVE APT 4C",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073063752",
"telephone_number": "646-520-8247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 VAN REIPEN AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073062806",
"telephone_number": "201-418-8601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUN",
"first_name": "XINYU",
"name_prefix": "Miss",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-09",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "AC-GTL-20-01671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.