Individual provider Active NPI

Laura Anhalt, LCSW

  • Mental Health Counselor
  • Forest Hills, NY
National Provider Identifier
1245487826
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R046424-1 Issued in NY
Practice address
7520 113TH St Apt 3D
Forest Hills, NY 11375-5578
Phone
(646) 522-6727
NPI assigned
Aug 26, 2008
Last updated
Oct 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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 R046424-1 NY Primary

Addresses

Primary practice location

7520 113TH St Apt 3D
Forest Hills, NY 11375-5578

Mailing address

16121 Jamaica Ave
Jamaica, NY 11432-6113
Phone (646) 522-6727

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
I20111227000019 NY Practitioner - Clinical Social Worker 2466628359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
AIDS Center of Queens County IncGroup PAC ID 4183659790, 3 clinicians

Practice addresses (Care Compare)

161 -21 Jamaica Ave
6TH Floor
Queens, NY 11432-6113

16121 Jamaica Ave
Jamaica, NY 11432-6113
Phone (718) 896-2500

475 Atlantic Ave
Suite 3
Brooklyn, NY 11217-4383
Phone (929) 244-5006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R046424-1NYMDMental Health Counselor
046424NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Center of Queens County, Inc. CurrentSince Oct 30, 2011 Accepting new patients
Newyork-Presbyterian-Queens Past Accepting new patients

Locations

16121 Jamaica Ave
Jamaica, NY 11432
Phone (718) 896-2500

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": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1245487826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16121 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326113",
            "telephone_number": "646-522-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 113TH ST APT 3D",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755578",
            "telephone_number": "646-522-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANHALT",
        "first_name": "LAURA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R046424-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.