Active NPI
Nikolaos Konstantakos, MHC
- Mental Health Counselor
- East Elmhurst, NY
National Provider Identifier
1487995171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P86099
- Practice address
- 2231 77TH St
Apt C3
East Elmhurst, NY 11370-1251 - Phone
- (917) 892-6018
- NPI assigned
- Mar 6, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P86099 | NY | Primary |
Addresses
Primary practice location
2231 77TH St
Apt C3
East Elmhurst, NY 11370-1251
Mailing address
2231 77TH St
Apt C3
East Elmhurst, NY 11370-1251
Phone (917) 892-6018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P86099 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362528000000",
"number": "1487995171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2231 77TH ST",
"address_2": "APT C3",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113701251",
"telephone_number": "917-892-6018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2231 77TH ST",
"address_2": "APT C3",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113701251",
"telephone_number": "917-892-6018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONSTANTAKOS",
"first_name": "NIKOLAOS",
"name_prefix": "Mr.",
"credential": "MHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-06",
"last_updated": "2013-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P86099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.