Individual provider Active NPI

Glad Effy Uko-Ima

  • Mental Health Counselor
  • Mount Kisco, NY
National Provider Identifier
1427773423
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P117276 Issued in NY
Practice address
100 S Bedford Rd Ofc 321
Mount Kisco, NY 10549-3425
Phone
(718) 887-1257
NPI assigned
Oct 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X P117276 NY Primary

Addresses

Primary practice location

100 S Bedford Rd Ofc 321
Mount Kisco, NY 10549-3425

Mailing address

101 Scribner Ave
Staten Island, NY 10301-2317
Phone (347) 681-0419

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
I20260427003028 NY Practitioner - Mental Health Counselor 6103393152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

96 Simonson PL
Staten Island, NY 10302-1816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P117276NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Real Mind Mental Health Counseling P.C. Mental Health Current Accepting new patients

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": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1427773423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SCRIBNER AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012317",
            "telephone_number": "347-681-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BEDFORD RD OFC 321",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493425",
            "telephone_number": "718-887-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKO-IMA",
        "first_name": "GLAD",
        "middle_name": "EFFY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P117276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.