Individual provider Active NPI

Padmini Singh Jagpal

  • Mental Health Counselor
  • Valley Stream, NY
National Provider Identifier
1164046066
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
012515 Issued in NY
Practice address
240 Rockaway Ave Ste 3
Valley Stream, NY 11580-5841
Phone
(347) 720-6199
Fax
(516) 593-0731
NPI assigned
Jun 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 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 012515 NY Primary

Addresses

Primary practice location

240 Rockaway Ave Ste 3
Valley Stream, NY 11580-5841

Mailing address

5110 Broadway # 1035
Woodside, NY 11377-1729
Phone (917) 725-7903

Other identifiers 1

IdentifierTypeStateIssuer
XG81192TMedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL psinghjagpal@lotusoasisllc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: No
  • 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
I20250507000010 NJ Practitioner - Mental Health Counselor 0244757961 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group of New Jersey PC Mental Health CurrentSince Apr 10, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

Organizations & group practices 1

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": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1164046066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 BROADWAY # 1035",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771729",
            "telephone_number": "917-725-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 ROCKAWAY AVE STE 3",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805841",
            "telephone_number": "347-720-6199",
            "fax_number": "516-593-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH JAGPAL",
        "first_name": "PADMINI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XG81192T",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "psinghjagpal@lotusoasisllc.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5110 Broadway # 1035",
            "city": "Woodside",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113771729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.