Khrystyna Misyuk, MHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P04504 Issued in NY

Practice address

558 2ND St
Suite 1
Brooklyn, NY 11215-2608

Phone

(347) 725-4301

NPI assigned

Jan 17, 2017

Last updated

Jan 17, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1174069975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8855 BAY PKWY",
            "address_2": "9M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146439",
            "telephone_number": "929-246-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 2ND ST",
            "address_2": "SUITE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152608",
            "telephone_number": "347-725-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISYUK",
        "first_name": "KHRYSTYNA",
        "credential": "MHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P04504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akossiwa Ani Missoh
• Gloria Missry, LMSW
• Allison Marie Mistretta, LMSW
• Maganlal G Mistry, MD
• Stephen Salvatore Misuraca, PSY.D.
• Natalie Misyuk
• Victor Brian Misyuk, LMT
• Monika Miszczuk
• Iwona Mita
• Kristen Elizabeth Mita

• Mental Health Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.