Individual provider Active NPI

Mi Cao

  • Mental Health Counselor
  • Jersey City, NJ
National Provider Identifier
1699399055
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00579300 Issued in NJ
Practice address
101 Hudson St FL 21
Jersey City, NJ 07302-3929
Phone
(201) 856-4307
NPI assigned
Jun 2, 2020
Last updated
May 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC00579300 NJ Primary
Mental Health Counselor 101YM0800X 004766 CT
Mental Health Counselor 101YM0800X LMHC12458 MA
Mental Health Counselor 101YM0800X 012299 NY
Mental Health Counselor 101YM0800X LPCC9794 CA

Addresses

Primary practice location

101 Hudson St FL 21
Jersey City, NJ 07302-3929

Mailing address

101 Hudson St FL 21
Jersey City, NJ 07302-3929

Other practice location 1

867 Boylston St Fl 5
Boston, MA 02116-2774
Phone (617) 676-2688

Other practice location 2

1178 Broadway Fl 3
New York, NY 10001-5666
Phone (332) 237-7077

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

State licenses

LicenseStateTypeSpecialty
LPCC9794CAMDMental Health Counselor
LMHC12458MAMDMental Health Counselor
37PC00579300NJMDMental Health Counselor
004766CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joy Mental Fitness LLC CurrentSince Aug 1, 2020 Accepting new patients

Locations

867 Boylston St
Fl 5
Boston, MA 02116
Phone (617) 221-3202

377 Valley Rd
#1070
Clifton, NJ 07013

101 Hudson St
Fl 21
Jersey City, NJ 07302
Phone (201) 706-7135

1178 Broadway
Fl 3
New York, NY 10001
Phone (201) 497-4377

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1699399055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HUDSON ST FL 21",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HUDSON ST FL 21",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023929",
            "telephone_number": "201-856-4307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "867 Boylston St Fl 5",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021162774",
            "country_code": "US",
            "telephone_number": "617-676-2688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1178 Broadway Fl 3",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100015666",
            "country_code": "US",
            "telephone_number": "332-237-7077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAO",
        "first_name": "MI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2024-05-10",
        "certification_date": "2024-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00579300",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "004766",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC12458",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012299",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC9794",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.