Nixon Jara, MHC-LP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1123 Broadway Ste 914
New York, NY 10010-2007

Phone

(917) 920-5428

NPI assigned

Mar 19, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Nixon Jara Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1376344119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 43RD ST APT A5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191722",
            "telephone_number": "646-884-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 BROADWAY STE 914",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102007",
            "telephone_number": "917-920-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARA",
        "first_name": "NIXON",
        "name_prefix": "Mr.",
        "credential": "MHC-LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-19",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIXON",
            "last_name": "JARA",
            "prefix": "MR.",
            "credential": "MHC-LP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Eliza Jaquez
• Samuel Edward Jaquish, R.N.
• Natalie Jara Kudin
• Britney D Jara
• Jenifer Lucia Jara
• Deena Jaraba
• Moussa Jaradeh
• Valentina Jaramillo Restrepo, MD
• Alexandra Z Jaramillo-Murphy, LMSW
• Diego Jaramillo, MD

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.