Individual provider Active NPI

Nadi Denisenko, LMHC, LMFT

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1598093528
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0029011 Issued in NY
Practice address
6415 Bay Pkwy
New York Phyciatric Services
Brooklyn, NY 11204-3947
Phone
(718) 331-3800
Fax
(718) 331-3387
NPI assigned
Dec 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC00310300 NJ
Addiction (Substance Use Disorder) Counselor 101YA0400X 12206 NY
Mental Health Counselor 101YM0800X 0029011 NY Primary
Marriage & Family Therapist 106H00000X 0005241 NY

Addresses

Primary practice location

6415 Bay Pkwy
New York Phyciatric Services
Brooklyn, NY 11204-3947

Mailing address

576 73Rd St
Brooklyn, NY 11209-2612
Phone (917) 533-6630

Other names 1

  • Nadezhda Denisenko Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240304002255 NY Practitioner - Mental Health Counselor 1355786096 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12206NYMDAddiction (Substance Use Disorder) Counselor
37PC00310300NJMDMental Health Counselor
0029011NYMDMental Health Counselor
0005241NYMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1598093528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 73RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092612",
            "telephone_number": "917-533-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6415 BAY PKWY",
            "address_2": "NEW YORK PHYCIATRIC SERVICES",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043947",
            "telephone_number": "718-331-3800",
            "fax_number": "718-331-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENISENKO",
        "first_name": "NADI",
        "credential": "LMHC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-02",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00310300",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "12206",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "0029011",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "0005241",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADEZHDA",
            "last_name": "DENISENKO",
            "credential": "LMHC, LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.