Active NPI
Kamilla Haverhuk Afonso-Hausman
- Mental Health Counselor
- Long Island City, NY
National Provider Identifier
1760346712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 017147
- Practice address
- 3046 Northern Blvd
Long Island City, NY 11101-2816 - Phone
- (718) 424-6191
- NPI assigned
- Dec 15, 2025
- 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 | 017147 | NY | Primary |
Addresses
Primary practice location
3046 Northern Blvd
Long Island City, NY 11101-2816
Mailing address
3046 Northern Blvd
Long Island City, NY 11101-2816
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017147 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1760346712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3046 NORTHERN BLVD",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111012816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3046 NORTHERN BLVD",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111012816",
"telephone_number": "718-424-6191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVERHUK AFONSO-HAUSMAN",
"first_name": "KAMILLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-15",
"last_updated": "2025-12-15",
"certification_date": "2025-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "017147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.