Active NPI
Sean Bedford, LMHC
- Mental Health Counselor
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 010771
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010771 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carmel Psychological Health, PC | Mental Health | Current | Accepting new patients |
| Sean Bedford, Mental Health Counseling, PLLC. | Mental Health | Current | 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.
-
- Mental Health Counselor
- Brooklyn, NY
- NPI 1508668120
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
- Bedford Stuyvesant Family Health Center, Inc.
- Bedford Stuyvesant Family Health Center, Inc.
- Bedford Stuyvesant Vol Amb
- Bedford Stuyvesant Volunteer Ambulance Corps
- Lynette Linda Bedford, FNP
- Puneet Bedi, M.D.
- Sadie Z Bedik-Bloom
- Andrew Karol Bedkowski
- Jacqueline Adamson Bednar
- Melissa Eve Bednar, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.