Active NPI
Mind Soul Mental Health Counseling
- Mental Health Counselor
- Staten Island, NY
National Provider Identifier
1508558933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MIND SOUL MENTAL HEALTH COUNSELING
- Practice address
- 900 South Ave Ste 300
Staten Island, NY 10314-3428 - Phone
- (917) 533-9455
- Fax
- (917) 533-9455
- NPI assigned
- May 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Salma Abdou
- Title
- LMHC
- Phone
- (917) 533-9455
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
900 South Ave Ste 300
Staten Island, NY 10314-3428
Mailing address
3760 Polar St
Brooklyn, NY 11224-1246
Other practice location 1
3760 Polar St
Brooklyn, NY 11224-1246
Phone (917) 533-9455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
900 South Ave
Ste 300
Staten Island, NY 10314
Phone (347) 395-3262
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749513600000",
"number": "1508558933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3760 POLAR ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112241246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 SOUTH AVE STE 300",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143428",
"telephone_number": "917-533-9455",
"fax_number": "917-533-9455"
}
],
"practiceLocations": [
{
"address_1": "3760 Polar St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112241246",
"country_code": "US",
"telephone_number": "917-533-9455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MIND SOUL MENTAL HEALTH COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-24",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A",
"authorized_official_last_name": "ABDOU",
"authorized_official_first_name": "SALMA",
"authorized_official_title_or_position": "LMHC",
"authorized_official_telephone_number": "917-533-9455"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.