Individual provider Active NPI

Rafael Valentin, LMHC

  • Mental Health Counselor
  • Jackson Heights, NY
National Provider Identifier
1205429537
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3708 91St St Ste 3a
Jackson Heights, NY 11372-7962
Phone
(718) 779-2263
Fax
(718) 779-2225
NPI assigned
Feb 17, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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 NY Primary

Addresses

Primary practice location

3708 91St St Ste 3a
Jackson Heights, NY 11372-7962

Mailing address

2521 33Rd St FL 2
Astoria, NY 11102-1235
Phone (203) 685-3114

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240524000524 NY Practitioner - Mental Health Counselor 6103268974 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apicha Community Health Center CurrentSince Feb 24, 2025 Accepting new patients
Apicha Community Health Center CurrentSince Feb 24, 2025 Accepting new patients
PD Mental Health Counseling of Queens County PLLC Mental Health CurrentSince Mar 25, 2024 Accepting new patients
Mental Health Providers of Western Queens PastSince Feb 21, 2021 Accepting new patients

Locations

7410 35th Ave
Apt 107W
Jackson Heights, NY 11372
Phone (718) 672-1538

8211 37th Ave
Jackson Heights, NY 11372
Phone (646) 747-8091

400 Broadway
Fl 4
New York, NY 10013
Phone (212) 334-6029

400 Broadway
New York, NY 10013
Phone (212) 334-6029

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJBGAA

Organizations & group practices 4

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": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1205429537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 33RD ST FL 2",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021235",
            "telephone_number": "203-685-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 91ST ST STE 3A",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727962",
            "telephone_number": "718-779-2263",
            "fax_number": "718-779-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTIN",
        "first_name": "RAFAEL",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.