Individual provider Active NPI

Zilin Li

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1407406978
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
107449 Issued in NY
Practice address
535 Clinton Ave 2ND Floor
Community Counseling and Mediation
Brooklyn, NY 11238
Phone
(718) 704-1986
NPI assigned
Sep 17, 2019
Last updated
Sep 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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 107449 NY Primary

Addresses

Primary practice location

535 Clinton Ave 2ND Floor
Community Counseling and Mediation
Brooklyn, NY 11238

Mailing address

6641 Colonial Rd
Brooklyn, NY 11220-4833
Phone (424) 644-5147

Other practice location 1

810 Classon Ave
Brooklyn, NY 11238-6102
Phone (718) 230-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
107449NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling and Mediation CurrentSince Sep 1, 2016 Accepting new patients
Community Counseling Mediation Services Past Accepting new patients

Locations

535 Clinton Ave
Ste 2
Brooklyn, NY 11238
Phone (718) 704-1986

810 Classon Ave
Brooklyn, NY 11238
Phone (718) 230-5100

Organizations & group practices 2

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": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1407406978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6641 COLONIAL RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204833",
            "telephone_number": "424-644-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 CLINTON AVE 2ND FLOOR",
            "address_2": "COMMUNITY COUNSELING AND MEDIATION",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11238",
            "telephone_number": "718-704-1986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Classon Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112386102",
            "country_code": "US",
            "telephone_number": "718-230-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "ZILIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "107449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.