Mental Health Counseling Wellness Practice of New York PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0043091 Issued in NY

Legal business name

MENTAL HEALTH COUNSELING WELLNESS PRACTICE OF NEW YORK PC

Practice address

220 5TH Ave FL 11
New York, NY 10001-8017

Phone

(718) 374-6765

Fax

(888) 613-0475

NPI assigned

Jan 3, 2012

Last updated

Apr 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Isabella Davydova, LMHCNPI 1356679070

Title

Owner

Phone

(718) 374-6765

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Mental Health Counseling Wellness Practice of New York PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mental Health Counseling Wellness Practice of New York PC

  • Mental Health Counselor
  • New York, NY
  • NPI 1578828075
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Isabella Davydova

  • Mental Health Counselor
  • New York, NY
  • NPI 1356679070
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1548530959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 5TH AVE FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100018017",
            "telephone_number": "718-374-6765",
            "fax_number": "888-613-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 5TH AVE FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100018017",
            "telephone_number": "718-374-6765",
            "fax_number": "888-613-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH COUNSELING WELLNESS PRACTICE OF NEW YORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "DAVYDOVA",
        "authorized_official_first_name": "ISABELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-374-6765",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "004309-1",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "0043091",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "0043091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counseling Services of New York PLLC
• Mental Health Counseling Services, P.C. (MHCS, P.C.)
• Mental Health Counseling Wellness Practice of New York PC
• Mental Health Counselor PLLC
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• Mental Health Counselors Who P.L.L.C
• Mentallogic Solutions PLLC

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.

Verify at the official NPI Registry.