Individual provider Active NPI

Ewa Elzbieta Opala, LMFT

  • Marriage & Family Therapist
  • Brooklyn, NY
National Provider Identifier
1699454173
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
190 72ND St Apt 134
Brooklyn, NY 11209-2072
Phone
(347) 620-2080
NPI assigned
Jul 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

190 72ND St Apt 134
Brooklyn, NY 11209-2072

Mailing address

190 72ND St Apt 134
Brooklyn, NY 11209-2072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241031001638 NY Practitioner - Marriage and Family Therapist 2567995392 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

190 72ND St
Apt 134
Brooklyn, NY 11209-2035

190 72ND St
Apt 134
Brooklyn, NY 11209-2072
Phone (347) 620-2080

190 72ND St Apt
Suite 134
Brooklyn, NY 11209-2072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
002348NYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1699454173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 72ND ST APT 134",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 72ND ST APT 134",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092072",
            "telephone_number": "347-620-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPALA",
        "first_name": "EWA",
        "middle_name": "ELZBIETA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.