Active NPI
Yvanessa Demosthenes
- Counselor
- Bronx, NY
National Provider Identifier
1164301982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 18-P132355-01
- Practice address
- 510 Courtlandt Ave FL 5
Bronx, NY 10451-5032 - Phone
- (718) 402-9000
- NPI assigned
- Aug 27, 2025
- Last updated
- Aug 27, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 18-P132355-01 | NY | Primary |
Addresses
Primary practice location
510 Courtlandt Ave FL 5
Bronx, NY 10451-5032
Mailing address
362 E 148TH St FL 5
Bronx, NY 10455-4005
Phone (347) 608-2845
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18-P132355-01 | NY | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1164301982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "362 E 148TH ST FL 5",
"city": "BRONX",
"state": "NY",
"postal_code": "104554005",
"telephone_number": "347-608-2845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 COURTLANDT AVE FL 5",
"city": "BRONX",
"state": "NY",
"postal_code": "104515032",
"telephone_number": "718-402-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMOSTHENES",
"first_name": "YVANESSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-27",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NY",
"license": "18-P132355-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.