Olivia Chrysovalanto Padelukas

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P102592 Issued in NY

Practice address

380 Lexington Ave
New York, NY 10168-0002

Phone

(347) 741-9634

NPI assigned

Oct 27, 2019

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

Practice roles

Locations

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.

• Olivia C Padelukas Licensed Mental Health Counseling PLLC

  • Mental Health Counselor
  • New York, NY
  • NPI 1740082890
  NPD Authorized official

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

{
    "created_epoch": "1572134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572134400000",
    "number": "1699318238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3026 21ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023626",
            "telephone_number": "347-741-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101680002",
            "telephone_number": "347-741-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADELUKAS",
        "first_name": "OLIVIA",
        "middle_name": "CHRYSOVALANTO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-27",
        "last_updated": "2019-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P102592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hosi Padamadan, MD
• Adrienne Padden
• Danielle Alexis Padden, LMSW
• John Elmer Paddock, MD
• Marcia Noreen Paddock, MD, PHD
• Rebecca Anne Padersky, MS
• Douglas Edmund Padgett, MD
• Megha D Padhiar, MSPT
• Carolyn Padial-Muncan, PT
• Grace Padilla-Matthew, LMSW

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2019; 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.