Active NPI
Robyn Costa
- Mental Health Counselor
- New York, NY
National Provider Identifier
1710493390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 394 Broadway
New York, NY 10013-6023 - Phone
- (718) 514-6007
- NPI assigned
- Dec 19, 2017
- Last updated
- Mar 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
394 Broadway
New York, NY 10013-6023
Mailing address
423 Larchmont Acres Apt D
Larchmont, NY 10538-7326
Phone (850) 814-8618
Other practice location 1
15 2nd Ave
Brooklyn, NY 11215-2711
Phone (718) 514-6007
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revcore Recovery Center of Manhattan, LLC | Current | Accepting new patients | |
| Revcore Recovery Center of Manhattan | Past | Accepting new patients |
Locations
15 2nd Ave
Fl 3
Brooklyn, NY 11215
Phone (718) 514-6007
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
- NPI 1154094555
-
- Substance Use Disorder Rehabilitation Clinic/Center
- New York, NY
- NPI 1467027342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1710493390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 LARCHMONT ACRES APT D",
"city": "LARCHMONT",
"state": "NY",
"postal_code": "105387326",
"telephone_number": "850-814-8618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "394 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100136023",
"telephone_number": "718-514-6007"
}
],
"practiceLocations": [
{
"address_1": "15 2nd Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112152711",
"country_code": "US",
"telephone_number": "718-514-6007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COSTA",
"first_name": "ROBYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-19",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"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 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.