Individual provider Active NPI

Shavone Jane Reese I

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1396274650
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
014485 Issued in NY
Practice address
15 2ND Ave FL 3
Brooklyn, NY 11215-2711
Phone
(718) 514-6007
NPI assigned
Jun 8, 2017
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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 014485 NY Primary

Addresses

Primary practice location

15 2ND Ave FL 3
Brooklyn, NY 11215-2711

Mailing address

15 2ND Ave FL 3
Brooklyn, NY 11215-2711
Phone (718) 514-6007

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
I20240606002033 NY Practitioner - Mental Health Counselor 5991247868 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Care Therapy LCSW of New York PLLCGroup PAC ID 7113269010, 63 clinicians
Revcore Recovery Center of Manhattan LLCGroup PAC ID 7517344278, 8 clinicians

Practice addresses (Care Compare)

14415 68TH Rd
Flushing, NY 11367-1330
Phone (973) 264-0023

15 2ND Ave
FL 3
Brooklyn, NY 11215-2711
Phone (917) 406-8744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014485NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Revcore Recovery Center of Manhattan, LLC CurrentSince Nov 1, 2025 Accepting new patients
The Guidance Center of Westchester, Inc CurrentSince Apr 30, 2024 Accepting new patients
Delicate Mental Health Counseling PLLC Mental Health Current Accepting new patients
Senior Care Therapy LCSW of New York PLLC Mental Health CurrentSince Feb 1, 2026 Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

15 2nd Ave
Fl 3
Brooklyn, NY 11215
Phone (718) 514-6007

256 Washington St
Ste 2
Mount Vernon, NY 10553
Phone 91461307003338

150 Huguenot St
New Rochelle, NY 10801
Phone (914) 297-3495

20 Sickles Ave
New Rochelle, NY 10801
Phone (914) 632-1374

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1396274650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 2ND AVE FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152711",
            "telephone_number": "718-514-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 2ND AVE FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152711",
            "telephone_number": "718-514-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "SHAVONE",
        "middle_name": "JANE",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "014485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.