Active NPI
Jack Szary
- Mental Health Counselor
- New York, NY
National Provider Identifier
1205406584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P110554
- Practice address
- 224 W 35TH St Ste 500
New York, NY 10001-2538 - Phone
- (646) 875-8927
- NPI assigned
- Jun 29, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P110554 | NY | Primary |
Addresses
Primary practice location
224 W 35TH St Ste 500
New York, NY 10001-2538
Mailing address
224 W 35TH St Ste 500
New York, NY 10001-2538
Phone (646) 875-8927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P110554 | NY | MD | Mental Health Counselor |
Interoperability endpoints
- jack.szary.p5@direct.heartshare.nextgenshare.com
Organizations & group practices 1
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": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1205406584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 W 35TH ST STE 500",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100012538",
"telephone_number": "646-875-8927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 W 35TH ST STE 500",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100012538",
"telephone_number": "646-875-8927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZARY",
"first_name": "JACK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-29",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P110554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.