Individual provider Active NPI

Varsha Pahwa

  • Mental Health Counselor
  • Williston Park, NY
National Provider Identifier
1336800911
Registry record updated Mar 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
013021 Issued in NY
Practice address
99 Hillside Ave Ste J
Williston Park, NY 11596-2352
Phone
(516) 800-1332
NPI assigned
Jan 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC01128700 NJ
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 013021 NY Primary

Addresses

Primary practice location

99 Hillside Ave Ste J
Williston Park, NY 11596-2352

Mailing address

38 Grant St
Farmingdale, NY 11735-6711
Phone (516) 800-1332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240219003389 NY Practitioner - Mental Health Counselor 5698119576 Reassigns benefits to 4 organizations
I20250603000473 NJ Practitioner - Mental Health Counselor 5698119576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brave Medical PCGroup PAC ID 2567882731, 22 clinicians

Practice addresses (Care Compare)

250 Ashland PL
Apt 30K
Brooklyn, NY 11217-4327
Phone (646) 766-8303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013021NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Medical P.C. CurrentSince Sep 1, 2025 Accepting new patients
Valera Medical, P.C. Mental Health CurrentSince Feb 1, 2024 Accepting new patients
Grow Healthcare Group of New Jersey PC Mental Health CurrentSince May 8, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince May 8, 2025 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Aug 1, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

134 N 4th St
Brooklyn, NY 11249

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

Organizations & group practices 5

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": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774742400000",
    "number": "1336800911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 GRANT ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117356711",
            "telephone_number": "516-800-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 HILLSIDE AVE STE J",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962352",
            "telephone_number": "516-800-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAHWA",
        "first_name": "VARSHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2026-03-29",
        "certification_date": "2026-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC01128700",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston Park, NY

Sources for this page

Verify at the official NPI Registry.