Individual provider Active NPI

Catrina Yuknevitch

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1215659479
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
28 Liberty St
New York, NY 10005-1400
Phone
(855) 438-8331
NPI assigned
Sep 14, 2022
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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 NU Primary

Addresses

Primary practice location

28 Liberty St
New York, NY 10005-1400

Mailing address

28 Liberty St
New York, NY 10005-1400

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
I20241211004138 NY Practitioner - Mental Health Counselor 7719413939 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Revcore Recovery Center of Manhattan, LLC CurrentSince Oct 11, 2024 Accepting new patients
Revcore Recovery Center of Manhattan PastSince Sep 1, 2022 Accepting new patients

Locations

15 2nd Ave
Fl 3
Brooklyn, NY 11215
Phone (718) 514-6007

Interoperability endpoints

  • Direct secure messaging: catrina.yuknevitch@361010828083204.direct.elationemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1215659479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 LIBERTY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100051400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 LIBERTY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100051400",
            "telephone_number": "855-438-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUKNEVITCH",
        "first_name": "CATRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.