Individual provider Active NPI

Juby Kurian, LMHC, MA

  • Mental Health Counselor
  • Great Neck, NY
National Provider Identifier
1386269090
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010101 Issued in NY
Practice address
1010 Northern Blvd Ste 311
Great Neck, NY 11021-5329
Phone
(516) 788-8901
NPI assigned
Jun 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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 010101 NY Primary

Addresses

Primary practice location

1010 Northern Blvd Ste 311
Great Neck, NY 11021-5329

Mailing address

1211 Stewart Ave Ste 100
Bethpage, NY 11714-1601

Other practice location 1

1211 Stewart Ave Ste 100
Bethpage, NY 11714-1601
Phone (516) 465-3998

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
I20240806003796 NY Practitioner - Mental Health Counselor 0547707671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Li Health Services LCSW PLLCGroup PAC ID 3779014519, 5 clinicians

Practice addresses (Care Compare)

1010 Northern Blvd
Suite 311
Great Neck, NY 11021-5329
Phone (516) 788-8901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Li Health Services LCSW PLLC CurrentSince Dec 1, 2024 Accepting new patients
New Horizon Counseling Center Inc CurrentSince Jun 1, 2024 Accepting new patients
Sean Tendler Mental Health Counseling, P.C. Mental Health PastSince Mar 26, 2023 Accepting new patients

Locations

445 Oak St
Copiague, NY 11726
Phone (631) 257-5173

1010 Northern Blvd
Ste 311
Great Neck, NY 11021
Phone (516) 788-8901

28 Maple Pl
Unit 1304
Manhasset, NY 11030

10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202

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": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1386269090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 STEWART AVE STE 100",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117141601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 NORTHERN BLVD STE 311",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215329",
            "telephone_number": "516-788-8901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 Stewart Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bethpage",
            "state": "NY",
            "postal_code": "117141601",
            "country_code": "US",
            "telephone_number": "516-465-3998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURIAN",
        "first_name": "JUBY",
        "credential": "LMHC, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.