Individual provider Active NPI

Natalie Rose Costa, MA, LMHC

  • Mental Health Counselor
  • Staten Island, NY
National Provider Identifier
1538439518
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
005601-1 Issued in NY
Practice address
44 Monarch CT
Staten Island, NY 10314-4953
Phone
(917) 217-3102
NPI assigned
Jan 6, 2012
Last updated
Nov 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X 005601-1 NY Primary

Addresses

Primary practice location

44 Monarch CT
Staten Island, NY 10314-4953

Mailing address

25 Chapel St
Suite 901
Brooklyn, NY 11201-1952
Phone (718) 398-0153

Other practice location 1

25 Chapel St
Suite 901
Brooklyn, NY 11201-1952
Phone (718) 398-0153

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
005601-1NYMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1538439518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHAPEL ST",
            "address_2": "SUITE 901",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011952",
            "telephone_number": "718-398-0153",
            "fax_number": "718-623-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MONARCH CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144953",
            "telephone_number": "917-217-3102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Chapel St",
            "address_2": "Suite 901",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112011952",
            "country_code": "US",
            "telephone_number": "718-398-0153",
            "fax_number": "718-623-2531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTA",
        "first_name": "NATALIE",
        "middle_name": "ROSE",
        "name_prefix": "Miss",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-06",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005601-1",
            "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 Nov 20, 2019; 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.