Individual provider Active NPI

Tuba Habib

  • Mental Health Counselor
  • Staten Island, NY
National Provider Identifier
1194490649
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
015684 Issued in NY
Practice address
PO Box 50231
Staten Island, NY 10305-0231
Phone
(646) 657-8660
NPI assigned
Aug 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 015684 NY Primary

Addresses

Primary practice location

PO Box 50231
Staten Island, NY 10305-0231

Mailing address

PO Box 50231
Staten Island, NY 10305-0231
Phone (646) 657-8660

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
I20250808001917 NY Practitioner - Mental Health Counselor 4183122245 Reassigns benefits to 4 organizations
I20260209001960 NJ Practitioner - Marriage and Family Therapist 4183122245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Mental Health CurrentSince Jan 1, 2026 Accepting new patients
Wagner Medical PC Single Specialty CurrentSince Jan 27, 2026 Accepting new patients
House of Wellness Mental Health Counseling, PLLC Mental Health CurrentSince Jun 9, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Nov 21, 2025 Accepting new patients

Locations

1400 Hooper Ave
Ste 2
Toms River, NJ 08753
Phone (732) 339-3398

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

100 Church St
Fl 8
New York, NY 10007
Phone (646) 357-3609

Organizations & group practices 4

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": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1194490649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50231",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103050231",
            "telephone_number": "646-657-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 50231",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103050231",
            "telephone_number": "646-657-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIB",
        "first_name": "TUBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "015684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.