Organization Active NPI

Bushwick Therapy Mental Health Counseling, PLLC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1548068562
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BUSHWICK THERAPY MENTAL HEALTH COUNSELING, PLLC
Practice address
255 McKibben St Ste 16
Brooklyn, NY 11206-3575
Phone
(917) 975-9517
NPI assigned
Mar 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Elizabeth Angelica Quinones, LMHCNPI 1598354292
Title
Owner
Phone
(917) 975-9517

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

255 McKibben St Ste 16
Brooklyn, NY 11206-3575

Mailing address

130 Schaefer St Apt 1
Brooklyn, NY 11207-1113
Phone (917) 975-9517

National Provider Directory

National Provider Directory

Locations

255 McKibben St
Ste 16
Brooklyn, NY 11206
Phone (518) 944-6861

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": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1548068562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SCHAEFER ST APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112071113",
            "telephone_number": "917-975-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 MCKIBBEN ST STE 16",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112063575",
            "telephone_number": "917-975-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSHWICK THERAPY MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "QUINONES",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANGELICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-975-9517",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Mar 5, 2025; 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.