Emma Kirshblum

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

122018 Issued in NY

Practice address

2146 Jackson Ave
Seaford, NY 11783-2606

Phone

(516) 622-8888

NPI assigned

Feb 4, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Charles Evans Center, Inc.Group PAC ID 1759695992, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Charles Evans Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bethpage, NY
  • NPI 1972982007

  NY

  Medicare reassignment Care Compare group NPD
• Charles Evans Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Cove, NY
  • NPI 1770142366
  Care Compare group NPD
• Charles Evans Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hauppauge, NY
  • NPI 1598299356
  Care Compare group
• Charles Evans Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Seaford, NY
  • NPI 1215596614
  NPD

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1578377149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 BENNETT ST",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 JACKSON AVE",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832606",
            "telephone_number": "516-622-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSHBLUM",
        "first_name": "EMMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "122018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Rose Kelly, CCC-SLP
• Anne Marie Kenniff
• Patricia Kilduff
• Dawn Kinsley, LMSW
• Samantha Kirincic
• Melissa Klein
• Susan Klein, LCSW R
• Monica Koberlin, RN
• Russell Shaun Kohler
• Elizabeth Koval, MS.ED.

• All providers in Seaford, NY
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.

Verify at the official NPI Registry.