Individual provider Active NPI

Stephanie Giselle Fuertes

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1558846212
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
260 Broadway FL 4
Brooklyn, NY 11211-8433
Phone
(347) 505-5155
Fax
(718) 388-0896
NPI assigned
Sep 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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 NY Primary

Addresses

Primary practice location

260 Broadway FL 4
Brooklyn, NY 11211-8433

Mailing address

115 Maple St Apt 2L
Weehawken, NJ 07086-5782
Phone (570) 620-8747

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

NPI Registry JSON

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1558846212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MAPLE ST APT 2L",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070865782",
            "telephone_number": "570-620-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 BROADWAY FL 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112118433",
            "telephone_number": "347-505-5155",
            "fax_number": "718-388-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUERTES",
        "first_name": "STEPHANIE",
        "middle_name": "GISELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "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 Sep 28, 2018; 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.