Active NPI
Atasha Codginton
- Mental Health Counselor
- Brooklyn, NY
National Provider Identifier
1215270228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 014105
- Practice address
- 350 Sterling St
Apt 6C
Brooklyn, NY 11225-4256 - Phone
- (973) 738-2569
- NPI assigned
- Mar 28, 2013
- Last updated
- Jan 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 696406 | NJ | |
| Mental Health Counselor | 101YM0800X | 014105 | NY | Primary |
Addresses
Primary practice location
350 Sterling St
Apt 6C
Brooklyn, NY 11225-4256
Mailing address
350 Sterling St
Apt 6C
Brooklyn, NY 11225-4256
Phone (917) 667-2406
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 |
|---|---|---|---|
| 696406 | NJ | MD | Specialist |
| 014105 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valera Medical, P.C. | Mental Health | Current | Accepting new patients |
Locations
134 N 4th St
Brooklyn, NY 11249
139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Project Samaritan Health Services
- Federally Qualified Health Center (FQHC)
- Jamaica, NY
- NPI 1508955592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1215270228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 STERLING ST",
"address_2": "APT 6C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112254256",
"telephone_number": "917-667-2406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 STERLING ST",
"address_2": "APT 6C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112254256",
"telephone_number": "973-738-2569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CODGINTON",
"first_name": "ATASHA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-28",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "696406",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "014105",
"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 Jan 16, 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.