Active NPI
Jing Luo
- Mental Health Counselor
- Flushing, NY
National Provider Identifier
1275417016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 017842
- Practice address
- 14015B Sanford Ave FL 2
Flushing, NY 11355-2557 - Phone
- (315) 413-9070
- NPI assigned
- Aug 4, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 017842 | NY | Primary |
Addresses
Primary practice location
14015B Sanford Ave FL 2
Flushing, NY 11355-2557
Mailing address
2810 Jackson Ave Apt 19M
Long Island City, NY 11101-3146
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
| License | State | Type | Specialty |
|---|---|---|---|
| 017842 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1275417016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 JACKSON AVE APT 19M",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111013146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14015B SANFORD AVE FL 2",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552557",
"telephone_number": "315-413-9070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUO",
"first_name": "JING",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-08-04",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "017842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.