Individual provider Active NPI

John Anthony Brancato, MHC-LP

  • Mental Health Counselor
  • Forest Hills, NY
National Provider Identifier
1750028643
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
111275-01 Issued in NY
Practice address
10232 65TH Ave Apt B44
Forest Hills, NY 11375-1707
Phone
(347) 463-8066
Fax
(646) 844-5961
NPI assigned
May 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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 111275-01 NY Primary

Addresses

Primary practice location

10232 65TH Ave Apt B44
Forest Hills, NY 11375-1707

Mailing address

2341 Boynton PL
Brooklyn, NY 11223-4632
Phone (917) 836-9976

Other practice location 1

2460 Victory Blvd
Staten Island, NY 10314-6612
Phone (917) 781-0041

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

State licenses

LicenseStateTypeSpecialty
111275-01NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Start Mental Health Counseling PLLC Mental Health CurrentSince Jul 3, 2022 Accepting new patients
Liminal Integrative Mental Health Counseling, PLLC Mental Health Current Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1750028643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 BOYNTON PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234632",
            "telephone_number": "917-836-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10232 65TH AVE APT B44",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751707",
            "telephone_number": "347-463-8066",
            "fax_number": "646-844-5961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2460 Victory Blvd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103146612",
            "country_code": "US",
            "telephone_number": "917-781-0041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANCATO",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "credential": "MHC-LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "111275-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.