Organization Active NPI

Open Mind Mental Health Counseling

  • Mental Health Counselor
  • Staten Island, NY
National Provider Identifier
1689591265
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
OPEN MIND MENTAL HEALTH COUNSELING
Practice address
374 Manor Rd FL 1
Staten Island, NY 10314-2958
Phone
(718) 873-4835
NPI assigned
Jul 2, 2026
Last updated
Jul 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Jennifer Yael Samuel, LMHC
Title
Mental Health Counselor
Phone
(718) 873-4835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

374 Manor Rd FL 1
Staten Island, NY 10314-2958

Mailing address

65 Corona Ave
Staten Island, NY 10306-1150
Phone (718) 873-4835

National Provider Directory

National Provider Directory

Locations

374 Manor Rd
#1
Staten Island, NY 10314
Phone (718) 840-8280

NPI Registry JSON

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

{
    "created_epoch": "1782950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1689591265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CORONA AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061150",
            "telephone_number": "718-873-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 MANOR RD FL 1",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142958",
            "telephone_number": "718-873-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MIND MENTAL HEALTH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-02",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "YAEL",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "718-873-4835",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.