Ekta Kohli, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

093489 Issued in NY

Practice address

100 Stonyhill Rd
Port Jefferson, NY 11777-1703

Phone

(631) 928-5223

NPI assigned

May 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/77c2b089-5ae8-473f-98a4-de9173e168aa/

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.

• Conscious Connections LCSW PLLC

  • Clinical Social Worker
  • Stony Brook, NY
  • NPI 1134813553
  NPD Authorized official
• Association for Mental Health and Wellness Inc

  • Community/Behavioral Health Agency
  • Ronkonkoma, NY
  • NPI 1578516738
  NPD (past)
• Ministry for Hope, Inc. Montfort Therapeutic Residence

  • Physical Disabilities Residential Treatment Facility
  • Port Jefferson, NY
  • NPI 1073097531
  NPD (past)

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1427614296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MALVERN LN",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902816",
            "telephone_number": "631-747-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STONYHILL RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771703",
            "telephone_number": "631-928-5223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "939 Johnson Ave",
            "address_purpose": "LOCATION",
            "city": "Ronkonkoma",
            "state": "NY",
            "postal_code": "117796066",
            "country_code": "US",
            "telephone_number": "631-471-7242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "939 Johnson Ave",
            "address_purpose": "LOCATION",
            "city": "Ronkonkoma",
            "state": "NY",
            "postal_code": "117796066",
            "country_code": "US",
            "telephone_number": "631-471-7242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHLI",
        "first_name": "EKTA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger A Kleinman, DDS
• Matthew Klics, PA-C
• Aundrea Eliza Knapp
• Lori-Ann Kneessy
• Gregg Michael Knel
• Alexandros Konstantinidis, DO
• Victoria Kopec, AU.D.
• Anuja Korlipara, MD
• Julia Korobenko, DO
• Jeffrey Robert Kott, M.D.

• Clinical Social Worker in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.