Palak Agrawal

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

011155 Issued in NY

Practice address

240 Madison Ave # 10L
New York, NY 10016-2820

Phone

(516) 342-0481

NPI assigned

Mar 16, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healthy Self Mental Health Counseling Services PLLC

  • Mental Health Counselor
  • New York, NY
  • NPI 1447008628
  NPD Authorized official
• Realization Center

  • Case Management Agency
  • Brooklyn, NY
  • NPI 1508279902
  NPD (past)
• Realization Center, Inc.

  • Clinic/Center
  • New York, NY
  • NPI 1699827345
  NPD (past)

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1417532987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MADISON AVE # 10L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162820",
            "telephone_number": "516-342-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MADISON AVE # 10L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162820",
            "telephone_number": "516-342-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "PALAK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2024-05-08",
        "certification_date": "2023-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "35827",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kriti Agrawal
• Manasi Agrawal, MD
• Nidhi Agrawal
• Nidhi Agrawal
• Nikita Agrawal, M.D.
• Sundeep Agrawal, M.D.
• Veevek Agrawal, DO
• Vibha Agrawal
• Susan Agrest, SUSAN AGREST LCSW
• Nance Katherine Agresta, LCSW

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.