Individual provider Active NPI

Efrat Badian

  • Mental Health Counselor
  • Flushing, NY
National Provider Identifier
1205217197
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009410 Issued in NY
Practice address
13718 Jewel Ave
Flushing, NY 11367-1989
Phone
(347) 508-1727
NPI assigned
Jun 16, 2015
Last updated
Oct 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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 009410 NY Primary

Addresses

Primary practice location

13718 Jewel Ave
Flushing, NY 11367-1989

Mailing address

13718 Jewel Ave
Flushing, NY 11367-1989
Phone (347) 508-1727

Other practice location 1

1377 E 4th St
Brooklyn, NY 11230-4688
Phone (347) 508-1727

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
009410NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1205217197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13718 JEWEL AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671989",
            "telephone_number": "347-508-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13718 JEWEL AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671989",
            "telephone_number": "347-508-1727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1377 E 4th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112304688",
            "country_code": "US",
            "telephone_number": "347-508-1727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADIAN",
        "first_name": "EFRAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.