Individual provider Active NPI

Jonathan A Le, BS

  • Mental Health Counselor
  • Long Island City, NY
National Provider Identifier
1184077448
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
01135601 Issued in NY
Practice address
4322 Queens St Apt 601
Long Island City, NY 11101-7926
Phone
(917) 396-2329
NPI assigned
Jul 21, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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 01135601 NY Primary

Addresses

Primary practice location

4322 Queens St Apt 601
Long Island City, NY 11101-7926

Mailing address

4322 Queens St Apt 601
Long Island City, NY 11101-7926
Phone (917) 396-2329

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
I20240313000637 NY Practitioner - Mental Health Counselor 3577909555 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
01135601NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Le Mental Health Counseling PLLC Mental Health CurrentSince Feb 21, 2024 Accepting new patients

Locations

136 Madison Ave
#613
New York, NY 10016
Phone (917) 396-2329

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": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1184077448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4322 QUEENS ST APT 601",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111017926",
            "telephone_number": "917-396-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4322 QUEENS ST APT 601",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111017926",
            "telephone_number": "917-396-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "JONATHAN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-21",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "01135601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.