Healthy Self Mental Health Counseling Services PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HEALTHY SELF MENTAL HEALTH COUNSELING SERVICES PLLC

Practice address

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

Phone

(516) 342-0481

NPI assigned

May 11, 2024

Organization subpart

No

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

Authorized official

Name

Palak Agrawal, LMHCNPI 1417532987

Title

Owner

Phone

(516) 342-0481

Specialties & licenses 2

Addresses

Other names 1

• Heal(thy)Self Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Palak Agrawal

  • Mental Health Counselor
  • New York, NY
  • NPI 1417532987
  NPD Authorized official

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

{
    "created_epoch": "1715385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1447008628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 TAYLOR AVE",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "115752023",
            "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": {
        "organization_name": "HEALTHY SELF MENTAL HEALTH COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-11",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "AGRAWAL",
        "authorized_official_first_name": "PALAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-342-0481",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heal(thy)Self",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heal(thy)Self",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Oct 9, 2024; 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.