Irina Bashkirov, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00246600 Issued in NJ

Practice address

440 West St Ste 323
Fort Lee, NJ 07024-5028

Phone

(917) 667-0242

NPI assigned

Apr 14, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1699161802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CHADWICK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664203",
            "telephone_number": "917-667-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 WEST ST STE 323",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245028",
            "telephone_number": "917-667-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHKIROV",
        "first_name": "IRINA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00246600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott M Banford, LCSW
• Harry Banschick, M.D.
• Fenglei Bao
• Silvio Anthony Barone, R.PH
• Jayati Basak, M.D.
• Elliot H Bass, DDS
• Wendy Lee Bauer, BCBA
• Demetrios Bayiokos, D.M.D.
• BC Dental FTL, PC
• Michael Beals, D.D.S.

• Mental Health Counselor in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.