Individual provider Active NPI

Anna Grace Sompolski, LMHC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1336788538
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009044 Issued in NY
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

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241021001607 NY Practitioner - Mental Health Counselor 7315479953 Reassigns benefits to 1 organization

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
Palladia IncGroup PAC ID 9032651914, 5 clinicians

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

OrganizationSpecialtyStatusNew patients
Sus Mental Health Programs, Inc. Mental Health CurrentSince Aug 3, 2024 Accepting new patients
Palladia Inc CurrentSince Aug 3, 2024 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.

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

Verify at the official NPI Registry.