Active NPI
Katina Glover
- Mental Health Counselor
- Brooklyn, NY
National Provider Identifier
1558225706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 017169
- Practice address
- 1230 Pennsylvania Ave Apt 19B
Brooklyn, NY 11239-1114 - Phone
- (917) 772-4598
- NPI assigned
- Dec 12, 2025
- Last updated
- Dec 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 017169 | NY | Primary |
Addresses
Primary practice location
1230 Pennsylvania Ave Apt 19B
Brooklyn, NY 11239-1114
Mailing address
1230 Pennsylvania Ave Apt 19B
Brooklyn, NY 11239-1114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1230 Pennsylvania Ave
Apt 19B
Brooklyn, NY 11239-1100
535 Mack Ave
Kingsley, MI 49649-9220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017169 | NY | MD | Mental Health Counselor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1558225706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 PENNSYLVANIA AVE APT 19B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112391114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 PENNSYLVANIA AVE APT 19B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112391114",
"telephone_number": "917-772-4598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOVER",
"first_name": "KATINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-12",
"last_updated": "2025-12-12",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "017169",
"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 Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.