Individual provider Active NPI

Suzanne Beth Kantak, MSED, LMHC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1538865449
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P111005 Issued in NY
Practice address
93 Nassau Ave Apt 2R
Brooklyn, NY 11222-3246
Phone
(917) 309-6690
NPI assigned
Feb 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2023

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 P111005 NY Primary

Addresses

Primary practice location

93 Nassau Ave Apt 2R
Brooklyn, NY 11222-3246

Mailing address

93 Nassau Ave Apt 2R
Brooklyn, NY 11222-3246
Phone (917) 309-6690

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
P111005NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1538865449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 NASSAU AVE APT 2R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112223246",
            "telephone_number": "917-309-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 NASSAU AVE APT 2R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112223246",
            "telephone_number": "917-309-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTAK",
        "first_name": "SUZANNE",
        "middle_name": "BETH",
        "credential": "MSED, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P111005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 2, 2023; 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.