Active NPI
Sukriti Gupta, PSYD, MA
- Mental Health Counselor
- Roslyn Heights, NY
National Provider Identifier
1295017861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 016052
- Practice address
- 200 S Service Rd Ste 101
Roslyn Heights, NY 11577-2133 - Phone
- (646) 580-2912
- NPI assigned
- Sep 9, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 016052 | NY | Primary |
Addresses
Primary practice location
200 S Service Rd Ste 101
Roslyn Heights, NY 11577-2133
Mailing address
200 S Service Rd Ste 101
Roslyn Heights, NY 11577-2133
Phone (646) 580-2912
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250709000655 | NY | Practitioner - Mental Health Counselor | 3870007123 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lorenz Clinic, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/16506/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1295017861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S SERVICE RD STE 101",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115772133",
"telephone_number": "646-580-2912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S SERVICE RD STE 101",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115772133",
"telephone_number": "646-580-2912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "SUKRITI",
"name_prefix": "Dr.",
"credential": "PSYD, MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-09",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "016052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roslyn Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.