Eleanor Grace Wynn, MHC-LP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P141297 Issued in NY

Practice address

138 W 25TH St
New York, NY 10001-7405

Phone

(646) 655-9172

NPI assigned

Mar 17, 2026

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

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.

• Jasmina Mimica Mental Health Counseling PLLC

  dba Our Therapy

  • Mental Health Counselor
  • New York, NY
  • NPI 1750103800
  NPD (past)

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

{
    "created_epoch": "1773705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1730037854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BEDFORD AVE APT 4RF",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112491150",
            "telephone_number": "505-908-0162",
            "fax_number": "505-908-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 W 25TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017405",
            "telephone_number": "646-655-9172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 S 5th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112115597",
            "country_code": "US",
            "telephone_number": "646-655-9172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYNN",
        "first_name": "ELEANOR",
        "middle_name": "GRACE",
        "credential": "MHC-LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P141297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wynn Optics II Corp (wynn optics)
• Alyssa Wynn, LCSW
• Cymone Wynn
• Danielle Wynn
• Dejuan Lamont Wynn, OPTICIAN
• Jill J. Wynn, LCSW
• Julia Wynn, MS, CGC
• Kristin Wynn, LCSW
• Laura Wynn, MSW
• Laura Wynne, 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 Mar 17, 2026; 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.