Individual provider Active NPI

Tina Liu, LMHC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1376279984
Registry record updated May 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
017700 Issued in NY
Practice address
248 W 105TH St Apt 5a
New York, NY 10025-3932
Phone
(609) 703-3608
NPI assigned
Jul 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2026

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 017700 NY Primary

Addresses

Primary practice location

248 W 105TH St Apt 5a
New York, NY 10025-3932

Mailing address

248 W 105TH St Apt 5a
New York, NY 10025-3932
Phone (609) 703-3608

Other practice location 1

40 Montgomery St
New York, NY 10002-4808
Phone (212) 233-5032

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
I20260617002513 NY Practitioner - Mental Health Counselor 6800368143 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

248 W 105TH St
Apt 5a
New York, NY 10025-3932
Phone (609) 703-3608

99 Rochester Ave
East Atlantic Beach, NY 11561-1032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779580800000",
    "number": "1376279984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 W 105TH ST APT 5A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253932",
            "telephone_number": "609-703-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 W 105TH ST APT 5A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253932",
            "telephone_number": "609-703-3608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Montgomery St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100024808",
            "country_code": "US",
            "telephone_number": "212-233-5032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "TINA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2026-05-24",
        "certification_date": "2026-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "017700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.