Active NPI
Anna Grace Sompolski, LMHC
- Mental Health Counselor
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 009044
- Practice address
- 195 Montague Street
Condo Unit K, 8TH Floor
Brooklyn, NY 11201 - Phone
- (718) 488-0100
- NPI assigned
- Jan 6, 2020
- 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 | 009044 | NY | Primary |
Addresses
Primary practice location
195 Montague Street
Condo Unit K, 8TH Floor
Brooklyn, NY 11201
Mailing address
195 Montague Street
Condo Unit K, 8TH Floor
Brooklyn, NY 11201
Phone (718) 488-0100
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
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
177 E 122ND St
FL 2
New York, NY 10035-2906
Phone (212) 360-7116
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sus Mental Health Programs, Inc. | Mental Health | Current | Accepting new patients |
| Palladia Inc | Current | Accepting new patients | |
| Behavioral Health Medical Services of New York, P.C. | Past | Accepting new patients |
Locations
1125 Fulton St
Ste 2
Brooklyn, NY 11238
Phone (347) 226-9025
177 E 122nd St
New York, NY 10035
Phone (212) 360-7116
463 Fashion Ave
Fl 17
New York, NY 10018
Phone 64656558165816
177 E 122nd St
Fl 2
New York, NY 10035
Phone (212) 360-7116
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1710055827
-
- Community/Behavioral Health Agency
- Brooklyn, NY
- NPI 1053696195
Mental Health
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1518523919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1336788538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 MONTAGUE STREET",
"address_2": "CONDO UNIT K, 8TH FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11201",
"telephone_number": "718-488-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 MONTAGUE STREET",
"address_2": "CONDO UNIT K, 8TH FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11201",
"telephone_number": "718-488-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMPOLSKI",
"first_name": "ANNA",
"middle_name": "GRACE",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-06",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "009044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.