Individual provider Active NPI

Chavie E Lichtenberg, LMHC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1255734471
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009408 Issued in NY
Practice address
165 Christopher St Apt 4N
New York, NY 10014
Phone
(301) 717-2703
NPI assigned
Oct 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 009408 NY Primary

Addresses

Primary practice location

165 Christopher St Apt 4N
New York, NY 10014

Mailing address

165 Christopher St Apt 4N
New York, NY 10014-2846
Phone (301) 717-2703

Other practice location 1

590 Avenue Of The Americas
New York, NY 10011-2022
Phone (917) 565-6651

Other practice location 2

2090 Adam Clayton Powell Jr Blvd
New York, NY 10027-4990
Phone (917) 565-6651

Other names 1

  • Chavie E Berman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
009408NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1255734471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 CHRISTOPHER ST APT 4N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100142846",
            "telephone_number": "301-717-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 CHRISTOPHER ST APT 4N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10014",
            "telephone_number": "301-717-2703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Avenue Of The Americas",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100112022",
            "country_code": "US",
            "telephone_number": "917-565-6651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2090 Adam Clayton Powell Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100274990",
            "country_code": "US",
            "telephone_number": "917-565-6651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LICHTENBERG",
        "first_name": "CHAVIE",
        "middle_name": "E",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAVIE",
            "last_name": "BERMAN",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.