Individual provider Active NPI

Elena Yeselevskaya, LMHC

  • Mental Health Counselor
  • Staten Island, NY
National Provider Identifier
1437555455
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010842 Issued in NY
Practice address
16 Driggs St Ste 3
Staten Island, NY 10308-3200
Phone
(718) 808-5708
NPI assigned
Nov 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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 010842 NY Primary

Addresses

Primary practice location

16 Driggs St Ste 3
Staten Island, NY 10308-3200

Mailing address

16 Driggs St Ste 3
Staten Island, NY 10308-3200
Phone (718) 808-5708

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
I20250916000570 NY Practitioner - Mental Health Counselor 4284138132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Ridge LCSW PLLCGroup PAC ID 9830473677, 2 clinicians

Practice addresses (Care Compare)

4056 Amboy Rd
Staten Island, NY 10308-2409
Phone (718) 808-5708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010842NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Ridge LCSW PLLC CurrentSince Sep 8, 2025 Accepting new patients

Locations

16 Driggs St
Ste 3
Staten Island, NY 10308
Phone (718) 808-5708

4056 Amboy Rd
Staten Island, NY 10308
Phone (718) 227-8362

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": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1437555455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 DRIGGS ST STE 3",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083200",
            "telephone_number": "718-808-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 DRIGGS ST STE 3",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083200",
            "telephone_number": "718-808-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YESELEVSKAYA",
        "first_name": "ELENA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.