Individual provider Active NPI

Jeanine Chuya, LMHC

  • Mental Health Counselor
  • Woodside, NY
National Provider Identifier
1184133852
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
008168 Issued in NY
Practice address
6120 Woodside Ave
Woodside, NY 11377-3577
Phone
(718) 672-1705
NPI assigned
Sep 26, 2017
Last updated
May 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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 008168 NY Primary

Addresses

Primary practice location

6120 Woodside Ave
Woodside, NY 11377-3577

Mailing address

6336 98TH PL
Rego Park, NY 11374-2330
Phone (646) 420-2995

Other practice location 1

156 W 56th St Ste 1804
New York, NY 10019-3878
Phone (212) 851-8100

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
I20240522002422 NY Practitioner - Mental Health Counselor 5496197402 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Psychassociates LLP CurrentSince Apr 22, 2024 Accepting new patients
New Horizon Counseling Center Inc CurrentSince Jul 1, 2024 Accepting new patients
Valera Medical, P.C. Mental Health CurrentSince Nov 1, 2024 Accepting new patients

Locations

134 N 4th St
Brooklyn, NY 11249

445 Oak St
Copiague, NY 11726
Phone (631) 257-5173

18215 Hillside Ave
Jamaica, NY 11432
Phone (718) 262-8651

40 Keogh Ln
New Rochelle, NY 10805
Phone (914) 636-6200

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

156 W 56th St
Ste 1804
New York, NY 10019
Phone (212) 851-8100

10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202

85 Bloomingrove Dr
Troy, NY 12180
Phone (212) 851-8100

50 W Hawthorne Ave
Valley Stream, NY 11580
Phone (516) 524-3846

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1184133852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6336 98TH PL",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742330",
            "telephone_number": "646-420-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 WOODSIDE AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773577",
            "telephone_number": "718-672-1705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 W 56th St Ste 1804",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100193878",
            "country_code": "US",
            "telephone_number": "212-851-8100",
            "fax_number": "212-537-0102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUYA",
        "first_name": "JEANINE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

Verify at the official NPI Registry.