Individual provider Active NPI

Shanelle Brandon, LMHC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1528637345
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
008295-01 Issued in NY
Practice address
26 Court St Ste 1416
Brooklyn, NY 11242-1114
Phone
(718) 232-8600
NPI assigned
Jun 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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 008295-01 NY Primary

Addresses

Primary practice location

26 Court St Ste 1416
Brooklyn, NY 11242-1114

Mailing address

26 Court St Ste 1416
Brooklyn, NY 11242-1114
Phone (718) 232-8600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sbrandon@bcsnygroup.com Direct Brooklyn Counseling Services

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

LicenseStateTypeSpecialty
008295-01NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Womens & Family Counseling Services LCSW PLLC PastSince Jun 27, 2021 Accepting new patients

Organizations & group practices 1

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": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1528637345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 COURT ST STE 1416",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112421114",
            "telephone_number": "718-232-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 COURT ST STE 1416",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112421114",
            "telephone_number": "718-232-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "SHANELLE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008295-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbrandon@bcsnygroup.com",
            "affiliation": "Y",
            "affiliationName": "Brooklyn Counseling Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Brooklyn Counseling Services",
            "address_2": "26 Court Street #1416",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.