Individual provider Active NPI

Luigi Clemente, CRC, LMHC

  • Mental Health Counselor
  • Jackson Heights, NY
National Provider Identifier
1194265751
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3533 83Rd St Apt D5
Jackson Heights, NY 11372-5206
Phone
(347) 720-7094
NPI assigned
Mar 2, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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 0 Primary

Addresses

Primary practice location

3533 83Rd St Apt D5
Jackson Heights, NY 11372-5206

Mailing address

3533 83Rd St Apt D5
Jackson Heights, NY 11372-5206
Phone (347) 720-7094

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
I20240206003830 NY Practitioner - Mental Health Counselor 2860835824 Reassigns benefits to 2 organizations

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
Bleuler Psychotherapy Center IncGroup PAC ID 3274425988, 23 clinicians
Interborough Developmental and Consultation Center IncGroup PAC ID 7911898192, 167 clinicians

Practice addresses (Care Compare)

10470 Queens Blvd
Suite 200
Forest Hills, NY 11375-3694
Phone (718) 275-6010

1623 Kings Hwy
Brooklyn, NY 11229-1209
Phone 9292737601426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bleuler Psychotherapy Center, Inc. CurrentSince Nov 17, 2025 Accepting new patients
Interborough Developmental and Consultation Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Interborough Developmental and Consultation Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

1623 Kings Hwy
Brooklyn, NY 11229
Phone (718) 307-6800

10470 Queens Blvd
Ste 200
Forest Hills, NY 11375
Phone (866) 404-6913

8211 37th Ave
Ste 901
Jackson Heights, NY 11372
Phone (888) 272-9355

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bleulerpc/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1194265751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 83RD ST APT D5",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113725206",
            "telephone_number": "347-720-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 83RD ST APT D5",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113725206",
            "telephone_number": "347-720-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTE",
        "first_name": "LUIGI",
        "credential": "CRC, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-02",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.