Individual provider Active NPI

Erica Bou

  • Mental Health Counselor
  • North Baldwin, NY
National Provider Identifier
1194621110
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
002186 Issued in NY
Practice address
1620 Grand Ave Unit 1661
North Baldwin, NY 11510-7028
Phone
(516) 606-1083
NPI assigned
Oct 16, 2026
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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 002186 NY Primary

Addresses

Primary practice location

1620 Grand Ave Unit 1661
North Baldwin, NY 11510-7028

Mailing address

1620 Grand Ave Unit 1661
North Baldwin, NY 11510-7028
Phone (516) 606-1083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1792108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1194621110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 GRAND AVE UNIT 1661",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115107028",
            "telephone_number": "516-606-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 GRAND AVE UNIT 1661",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115107028",
            "telephone_number": "516-606-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOU",
        "first_name": "ERICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "002186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Baldwin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.