Individual provider Active NPI

Naazgol Eshtehardi, M.A., ED.M., LMHC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1710349360
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007100 Issued in NY
Practice address
14 Penn PLZ FRNT 4
New York, NY 10122-0003
Phone
(323) 213-3037
NPI assigned
Mar 23, 2016
Last updated
Mar 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 007100 NY Primary

Addresses

Primary practice location

14 Penn PLZ FRNT 4
New York, NY 10122-0003

Mailing address

687 Driggs Ave Apt 3N
Brooklyn, NY 11211-4005
Phone (917) 426-1363

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
007100NYMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1710349360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 DRIGGS AVE APT 3N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112114005",
            "telephone_number": "917-426-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PENN PLZ FRNT 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101220003",
            "telephone_number": "323-213-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESHTEHARDI",
        "first_name": "NAAZGOL",
        "credential": "M.A., ED.M., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.