Individual provider Active NPI

Pei Wen Liao

  • Mental Health Counselor
  • Flushing, NY
National Provider Identifier
1730590415
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007518 Issued in NY
Practice address
140-15B Sanford Avenue, 2ND FL
Flushing, NY 11355-3024
Phone
(718) 358-8288
Fax
(718) 358-5265
NPI assigned
May 15, 2014
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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 007518 NY Primary

Addresses

Primary practice location

140-15B Sanford Avenue, 2ND FL
Flushing, NY 11355-3024

Mailing address

6003 172ND St
Fresh Meadows, NY 11365-1511
Phone (929) 992-0218

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
I20241121002685 NY Practitioner - Mental Health Counselor 7012442486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
With Me Psychotherapy LCSW PCGroup PAC ID 3678006434, 3 clinicians

Practice addresses (Care Compare)

16 Madison SQ W
FL 12
New York, NY 10010-1629
Phone (917) 689-3188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007518NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
With Me Psychotherapy LCSW P.C. CurrentSince Oct 8, 2024 Accepting new patients

Locations

16 Madison Sq W
Fl 12
New York, NY 10010
Phone (516) 330-0944

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": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1730590415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6003 172ND ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651511",
            "telephone_number": "929-992-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140-15B SANFORD AVENUE, 2ND FL",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553024",
            "telephone_number": "718-358-8288",
            "fax_number": "718-358-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAO",
        "first_name": "PEI WEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.