Individual provider Active NPI

Shengzi Sun

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1629678867
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P108254 Issued in NY
Practice address
1199 Park Ave
New York, NY 10128-1711
Phone
(949) 241-3051
NPI assigned
Oct 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P108254 NY Primary
Mental Health Counselor 101YM0800X 8089 CA

Addresses

Primary practice location

1199 Park Ave
New York, NY 10128-1711

Mailing address

1199 Park Ave
New York, NY 10128-1711
Phone (949) 241-3051

Other practice location 1

136 Madison Ave
New York, NY 10016-6711
Phone (212) 828-7473

Other practice location 2

12087 Lopez Canyon Rd # 128
Sylmar, CA 91342-6063
Phone (949) 241-3051

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

State licenses

LicenseStateTypeSpecialty
8089CAMDMental Health Counselor
P108254NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1629678867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281711",
            "telephone_number": "949-241-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281711",
            "telephone_number": "949-241-3051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166711",
            "country_code": "US",
            "telephone_number": "212-828-7473",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12087 Lopez Canyon Rd # 128",
            "address_purpose": "LOCATION",
            "city": "Sylmar",
            "state": "CA",
            "postal_code": "913426063",
            "country_code": "US",
            "telephone_number": "949-241-3051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUN",
        "first_name": "SHENGZI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2024-08-07",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P108254",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "8089",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.