Individual provider Active NPI

Lily Adu Boahen

  • Mental Health Counselor
  • Bronx, NY
National Provider Identifier
1194479444
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
432 E 149TH St
Bronx, NY 10455-1343
Phone
(646) 784-6474
NPI assigned
Feb 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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 NY Primary

Addresses

Primary practice location

432 E 149TH St
Bronx, NY 10455-1343

Mailing address

1991 Sedgwick Ave Apt 6D
Bronx, NY 10453-2729
Phone (347) 223-1822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240212003269 NY Practitioner - Mental Health Counselor 0648613117 Reassigns benefits to 5 organizations
I20260318000688 NJ Practitioner - Mental Health Counselor 0648613117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kings Medical Ny PCGroup PAC ID 3274026299, 7 clinicians

Practice addresses (Care Compare)

7620 Bay Pkwy
Unit 201
Brooklyn, NY 11214-1532
Phone (845) 738-8770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group of New Jersey PC Mental Health CurrentSince Feb 16, 2026 Accepting new patients
Ilm Medical Care PLLC CurrentSince Sep 19, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Jan 9, 2026 Accepting new patients
Park Avenue Pediatrics, P.C. CurrentSince Jan 12, 2024 Accepting new patients

Locations

600 E Crescent Ave
Ste 305
Upper Saddle River, NJ 07458

3400 Cannon Pl
Bronx, NY 10463
Phone (718) 694-9000

2975 Independence Ave
Bronx, NY 10463
Phone (718) 542-1700

48 Cedar St
Brooklyn, NY 11221
Phone (718) 455-6200

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

Organizations & group practices 6

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": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1194479444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 SEDGWICK AVE APT 6D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104532729",
            "telephone_number": "347-223-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551343",
            "telephone_number": "646-784-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADU BOAHEN",
        "first_name": "LILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.