Individual provider Active NPI

Saadia Safian, LMHC, CRC

  • Mental Health Counselor
  • Jackson Heights, NY
National Provider Identifier
1417429671
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009219 Issued in NY
Practice address
7410 35TH Ave Apt 107W
Jackson Heights, NY 11372-8105
Phone
(718) 779-2641
NPI assigned
Dec 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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 009219 NY Primary

Addresses

Primary practice location

7410 35TH Ave Apt 107W
Jackson Heights, NY 11372-8105

Mailing address

34 Oceanview Blvd
Manorville, NY 11949-2956
Phone (631) 935-3342

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
I20240604003279 NY Practitioner - Mental Health Counselor 4082156179 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009219NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Mental Health Counseling P.C. Mental Health CurrentSince Apr 16, 2024 Accepting new patients

Locations

4949 Express Dr N
Ste 204
Lake Ronkonkoma, NY 11779
Phone (631) 241-5372

940 Roanoke Ave
Riverhead, NY 11901
Phone (631) 369-3259

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1417429671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 OCEANVIEW BLVD",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119492956",
            "telephone_number": "631-935-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 35TH AVE APT 107W",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113728105",
            "telephone_number": "718-779-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFIAN",
        "first_name": "SAADIA",
        "credential": "LMHC, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.