Jennifer Berlis
Individual provider Active NPI Mental Health Counselor · Harrison, NY
NPI 1205313202 · NPPES record last updated Sep 8, 2020
Key facts
- NPI
- 1205313202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 275 North St
Harrison, NY 10528-1140 - Phone
- (914) 967-6500
- NPI assigned
- Jul 23, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Che Senior Psychological Services, PC
Practice addresses (Care Compare)
300 Cadman PLZ W
Brooklyn, NY 11201-3211
Phone (888) 515-3834
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251125001456 | NY | Practitioner - Mental Health Counselor | 9931691110 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knapp Street Psychiatry, PC | Current |
Accepting new patients | |
| Che Senior Psychological Services, PC | Current |
Accepting new patients |
Locations
1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700
2433 Knapp St
Ste 306
Brooklyn, NY 11235
250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212
209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625
135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
275 North St
Harrison, NY 10528-1140
Mailing address
275 North Broadway
Harrison, NY 10528
Phone (914) 925-5269
Other providers in Harrison, NY
- Carlie Beninati
- Jenny Maria Benny
- Amanda Lynn Benza
- Benjamin Berenfeld
- Karen Bergstein
- Michelle Bernardo
- Elyse Beyer
- Lina Bianco
- Priya Bibb
- Kimberly A Blake
All providers in Harrison, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.