Individual provider Active NPI

Maria Lynn Siebel, R-L.C.S.W.

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1659424844
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R034144-1 Issued in NY
Practice address
565 1St St
Apt. 2
Brooklyn, NY 11215-2310
Phone
(718) 369-2659
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R034144-1 NY Primary

Addresses

Primary practice location

565 1St St
Apt. 2
Brooklyn, NY 11215-2310

Mailing address

406 7TH Ave
#8
Brooklyn, NY 11215-7306
Phone (718) 216-1280

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
I20100219000013 NY Practitioner - Clinical Social Worker 0143368969 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R034144-1NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Choices Ny Inc CurrentSince Jan 1, 2015 Accepting new patients
Guidance Center of Brooklyn, Inc. PastSince Oct 20, 2015 Accepting new patients

Locations

179 Jamaica Ave
Brooklyn, NY 11207
Phone (718) 906-3800

6209 16th Ave
Brooklyn, NY 11204
Phone (718) 234-0073

2110 Borden Ave
Long Island City, NY 11101
Phone (212) 533-8400

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: maria.siebel@iclhcc.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Health Care Choices Ny, IncBrooklyn, NY, CCN 331038 Federally qualified health center Corporate Officer (100%)
Operational/Managerial Control (100%)
Aug 1, 2011
Aug 1, 2011
Health Care Choices Ny, IncLong Island City, NY, CCN 331151 Federally qualified health center Corporate Officer (100%) Jan 1, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659424844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 7TH AVE",
            "address_2": "#8",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112157306",
            "telephone_number": "718-216-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 1ST ST",
            "address_2": "APT. 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152310",
            "telephone_number": "718-369-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEBEL",
        "first_name": "MARIA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "R-L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R034144-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.