Individual provider Active NPI

Miriam Jalani

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1467935338
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P13100 Issued in NY
Practice address
2037 Utica Ave
Brooklyn, NY 11234-3215
Phone
(718) 377-5755
NPI assigned
Sep 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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 P13100 NY Primary

Addresses

Primary practice location

2037 Utica Ave
Brooklyn, NY 11234-3215

Mailing address

138 Tehama St
Brooklyn, NY 11218-2017
Phone (347) 613-1939

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
I20241206002769 NY Practitioner - Mental Health Counselor 3577099068 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P13100NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Valera Medical, P.C. Mental Health CurrentSince Dec 1, 2024 Accepting new patients
Catholic Charities Neighborhood Services, Inc. PastSince Dec 26, 2017 Accepting new patients

Locations

134 N 4th St
Brooklyn, NY 11249

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

Organizations & group practices 2

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": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1467935338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 TEHAMA ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182017",
            "telephone_number": "347-613-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343215",
            "telephone_number": "718-377-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALANI",
        "first_name": "MIRIAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P13100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.