Individual provider Active NPI

Jonathan Weinreb, LMHC

  • Mental Health Counselor
  • Far Rockaway, NY
National Provider Identifier
1508536608
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010332 Issued in NY
Practice address
1138 Harris Ave
Far Rockaway, NY 11691-4817
Phone
(134) 741-5018
NPI assigned
Sep 20, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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 010332 NY Primary

Addresses

Primary practice location

1138 Harris Ave
Far Rockaway, NY 11691-4817

Mailing address

1138 Harris Ave
Far Rockaway, NY 11691-4817
Phone (134) 741-5018

Other practice location 1

156 Beach 9th St Fl 2
Far Rockaway, NY 11691-5636
Phone (718) 851-8906

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
I20240705001271 NY Practitioner - Mental Health Counselor 8325582000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Hofstra North Shore - Lij School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohel Children'S Home and Family Services, Inc.Group PAC ID 2062325020, 27 clinicians

Practice addresses (Care Compare)

156 Beach 9TH St
FL 2
Far Rockaway, NY 11691-5636
Phone (718) 686-3149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010332NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohel Children'S Home and Family Services, Inc. Mental Health CurrentSince Jun 7, 2024 Accepting new patients
Ohel Children'S Home and Family Services, Inc. CurrentSince Jun 7, 2024 Accepting new patients

Locations

1268 E 14th St
Brooklyn, NY 11230
Phone (718) 851-6300

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": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1508536608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 HARRIS AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914817",
            "telephone_number": "134-741-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 HARRIS AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914817",
            "telephone_number": "134-741-5018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 Beach 9th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116915636",
            "country_code": "US",
            "telephone_number": "718-851-8906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINREB",
        "first_name": "JONATHAN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-20",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.