Individual provider Active NPI

Polly Hayes Howells, LCSW

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1205016391
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R016689-1 Issued in NY
Practice address
475 14TH St
Brooklyn, NY 11215-5701
Phone
(718) 369-9306
Fax
(718) 369-9306
NPI assigned
Nov 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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 R016689-1 NY Primary

Addresses

Primary practice location

475 14TH St
Brooklyn, NY 11215-5701

Mailing address

475 14TH St
Brooklyn, NY 11215-5701
Phone (718) 369-9306

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R016689-1NYMDMental Health Counselor
016689NYMDHealth Educator

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1205016391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155701",
            "telephone_number": "718-369-9306",
            "fax_number": "718-369-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155701",
            "telephone_number": "718-369-9306",
            "fax_number": "718-369-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWELLS",
        "first_name": "POLLY",
        "middle_name": "HAYES",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R016689-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.