Organization Active NPI

Neo Mental Health Counseling, PC

  • Mental Health Counselor
  • Elmhurst, NY
National Provider Identifier
1376953117
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000758-1 Issued in NY
Legal business name
NEO MENTAL HEALTH COUNSELING, PC
Practice address
4130 75TH St FL 1
Elmhurst, NY 11373-1852
Phone
(347) 423-4548
NPI assigned
May 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Authorized official

Name
Nicholas Ernesto Outeda, LMHCNPI 1063678555
Title
Licensed Mental Health Counselor
Phone
(347) 423-4548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 000758-1 NY Primary

Addresses

Primary practice location

4130 75TH St FL 1
Elmhurst, NY 11373-1852

Mailing address

2046 Seagirt Blvd
Apt 5-F
Far Rockaway, NY 11691-5950
Phone (718) 868-0515

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1376953117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 SEAGIRT BLVD",
            "address_2": "APT 5-F",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915950",
            "telephone_number": "718-868-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 75TH ST FL 1",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731852",
            "telephone_number": "347-423-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEO MENTAL HEALTH COUNSELING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "OUTEDA",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "ERNESTO",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "347-423-4548",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000758-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.