Individual provider Active NPI

Julie Beynenson

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1578281689
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
011452 Issued in NY
Practice address
68 Jay St Ste 409
Brooklyn, NY 11201-8361
Phone
(646) 477-4912
NPI assigned
Aug 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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 011452 NY Primary

Addresses

Primary practice location

68 Jay St Ste 409
Brooklyn, NY 11201-8361

Mailing address

236 E 36TH St Apt 4F
New York, NY 10016-3725
Phone (301) 213-1702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 21, 2024 through Feb 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
011452NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tete Dumbo LCSW CurrentSince Aug 28, 2022 Accepting new patients

Locations

68 Jay St
Ste 409
Brooklyn, NY 11201
Phone (646) 477-4912

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1578281689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 E 36TH ST APT 4F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163725",
            "telephone_number": "301-213-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 JAY ST STE 409",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112018361",
            "telephone_number": "646-477-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYNENSON",
        "first_name": "JULIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.