Individual provider Active NPI

Gabriela Huaraca

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1174927958
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
008002 Issued in NY
Practice address
55 W 125TH St
New York, NY 10027-4516
Phone
(212) 864-4128
NPI assigned
Oct 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2019

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 008002 NY Primary

Addresses

Primary practice location

55 W 125TH St
New York, NY 10027-4516

Mailing address

55 W 125TH St
New York, NY 10027-4516
Phone (212) 864-4128

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
I20240719001973 NY Practitioner - Mental Health Counselor 9335685908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greenwich House IncGroup PAC ID 0345137170, 9 clinicians

Practice addresses (Care Compare)

623 Broadway
FL 2
New York, NY 10012-2698
Phone (212) 242-4140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwich House Inc CurrentSince Jun 11, 2024 Accepting new patients

Locations

27 Barrow St
New York, NY 10014
Phone (212) 242-4140

122 W 27th St
Fl 6
New York, NY 10001
Phone (212) 691-2900

623 Broadway
Fl 2
New York, NY 10012
Phone (212) 242-4140

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": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1174927958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 W 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274516",
            "telephone_number": "212-864-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274516",
            "telephone_number": "212-864-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUARACA",
        "first_name": "GABRIELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.