Active NPI
Felicia Ursula Ivey-Toure, MA,CASAC, LMHC
- Mental Health Counselor
- Kew Gardens, NY
National Provider Identifier
1285694927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2635
- Practice address
- 11929 80TH Rd
Kew Gardens, NY 11415-1105 - Phone
- (718) 362-0615
- NPI assigned
- Mar 26, 2006
- Last updated
- Jun 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07669318 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MCAP.0101032 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| 11694 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| MH22564 | FL | MD | Mental Health Counselor |
| TPMC694 | FL | MD | Mental Health Counselor |
| 2635 | NY | MD | Mental Health Counselor |
| 46.006489 | CT | MD | Professional Counselor |
| 37PC00967500 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mental Health Counselor
- Kew Gardens, NY
- NPI 1750534905
-
- Community/Behavioral Health Agency
- Jamaica, NY
- NPI 1932352085
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.