Individual provider Active NPI

Felicia Ursula Ivey-Toure, MA,CASAC, LMHC

  • Mental Health Counselor
  • Kew Gardens, NY
National Provider Identifier
1285694927
Registry record updated Jun 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2635 Issued in NY
Practice address
11929 80TH Rd
Kew Gardens, NY 11415-1105
Phone
(718) 362-0615
NPI assigned
Mar 26, 2006
Last updated
Jun 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11694 NY
Addiction (Substance Use Disorder) Counselor 101YA0400X MCAP.0101032 FL
Mental Health Counselor 101YM0800X MH22564 FL
Mental Health Counselor 101YM0800X TPMC694 FL
Mental Health Counselor 101YM0800X 2635 NY Primary
Professional Counselor 101YP2500X 37PC00967500 NJ
Professional Counselor 101YP2500X 46.006489 CT

Addresses

Primary practice location

11929 80TH Rd
Kew Gardens, NY 11415-1105

Mailing address

15206 123Rd Ave
Jamaica, NY 11434-2311
Phone (718) 362-0615

Other identifiers 1

IdentifierTypeStateIssuer
07669318MedicaidNY

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MCAP.0101032FLMDAddiction (Substance Use Disorder) Counselor
11694NYMDAddiction (Substance Use Disorder) Counselor
MH22564FLMDMental Health Counselor
TPMC694FLMDMental Health Counselor
2635NYMDMental Health Counselor
46.006489CTMDProfessional Counselor
37PC00967500NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mind-Body and Inner-Self Mental Health Counseling PLLC Mental Health Current Accepting new patients
Mind-Body and Inner-Self LLC Past Accepting new patients

Locations

11929 80th Rd
Ste A
Kew Gardens, NY 11415
Phone (718) 347-8407

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": "1143331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717286400000",
    "number": "1285694927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15206 123RD AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114342311",
            "telephone_number": "718-362-0615",
            "fax_number": "718-738-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11929 80TH RD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151105",
            "telephone_number": "718-362-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVEY-TOURE",
        "first_name": "FELICIA",
        "middle_name": "URSULA",
        "name_prefix": "Mrs.",
        "credential": "MA,CASAC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-26",
        "last_updated": "2024-06-02",
        "certification_date": "2024-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "11694",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MCAP.0101032",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22564",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPMC694",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "2635",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00967500",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "46.006489",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07669318",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2024; 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.