Individual provider Active NPI

Kimberly Elizabeth Haran, LMHC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1396610465
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
016634 Issued in NY
Practice address
2433 Knapp St Ste 305
Brooklyn, NY 11235-1005
Phone
(760) 300-3664
NPI assigned
Oct 8, 2025
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 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 016634 NY Primary

Addresses

Primary practice location

2433 Knapp St Ste 305
Brooklyn, NY 11235-1005

Mailing address

111 Fairview Rd
Massapequa, NY 11758-8129

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
I20251112000893 NY Practitioner - Mental Health Counselor 7517458144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Che Senior Psychological Services, PCGroup PAC ID 8022905314, 227 clinicians

Practice addresses (Care Compare)

300 Cadman PLZ W
Brooklyn, NY 11201-3211
Phone (888) 515-3834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016634NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Che Senior Psychological Services, PC Single Specialty CurrentSince Nov 1, 2025 Accepting new patients

Locations

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

Organizations & group practices 1

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": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1396610465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FAIRVIEW RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117588129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2433 KNAPP ST STE 305",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351005",
            "telephone_number": "760-300-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARAN",
        "first_name": "KIMBERLY",
        "middle_name": "ELIZABETH",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "016634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.