Individual provider Active NPI

Sean Bedford, LMHC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1285040600
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010771 Issued in NY
Practice address
210 Parkville Ave
Apt 8D
Brooklyn, NY 11230-1483
Phone
(917) 267-8393
NPI assigned
Jul 7, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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 010771 NY Primary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X

Addresses

Primary practice location

210 Parkville Ave
Apt 8D
Brooklyn, NY 11230-1483

Mailing address

210 Parkville Ave
Apt 8D
Brooklyn, NY 11230-1483
Phone (917) 267-8393

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
I20241022000615 NY Practitioner - Mental Health Counselor 7517499023 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010771NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel Psychological Health, PC Mental Health CurrentSince Sep 15, 2024 Accepting new patients
Sean Bedford, Mental Health Counseling, PLLC. Mental Health CurrentSince Apr 26, 2023 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

203 Jay St
Ste 501
Brooklyn, NY 11201
Phone (347) 304-9465

667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223

110 E 60th St
Rm 704
New York, NY 10022
Phone (631) 323-6546

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1285040600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PARKVILLE AVE",
            "address_2": "APT 8D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301483",
            "telephone_number": "917-267-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PARKVILLE AVE",
            "address_2": "APT 8D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301483",
            "telephone_number": "917-267-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDFORD",
        "first_name": "SEAN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-07",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010771",
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.