Active NPI
Nazanin Kaffashan, M.S., M.A., L.M.H.C.
- Mental Health Counselor
- New York, NY
National Provider Identifier
1669650818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 004094
- Practice address
- 317 Lenox Ave
5TH Floor
New York, NY 10027 - Phone
- (917) 445-9539
- NPI assigned
- Feb 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 004094 | NY | Primary |
Addresses
Primary practice location
317 Lenox Ave
5TH Floor
New York, NY 10027
Mailing address
3 Tall Trees CT
Katonah, NY 10536-3331
Other practice location 1
19 W 34th St Rm 1021
New York, NY 10001-3006
Phone (917) 304-4797
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
- Credentials
- Master of Arts, Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1669650818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 TALL TREES CT",
"city": "KATONAH",
"state": "NY",
"postal_code": "105363331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 LENOX AVE",
"address_2": "5TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10027",
"telephone_number": "917-445-9539"
}
],
"practiceLocations": [
{
"address_1": "19 W 34th St Rm 1021",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100013006",
"country_code": "US",
"telephone_number": "917-304-4797",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAFFASHAN",
"first_name": "NAZANIN",
"credential": "M.S., M.A., L.M.H.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-08",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "004094",
"primary": true
}
],
"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 Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.